SREE CHITR TIRUN E RA NAL INST TITUTE FOR MEDICAL S F SCIENCE & TEC ES CHNOLO OGY

Thiruvanantha apuram 695 011, Kerala, India Tel: 0471 2524 437/ 637 Fax: 0471 24 6433 em : 44 mail: projec ctcell@sctim mst.ac.in WEBSITE: htt tp://sctimst.a ac.in REQUIRE ES for its R Research Pr roject # 6084 4 Post & Job Det tails Project Details Vacancy y Salary Age limit Tenure

ST TAFF NUR RSE

Nursing Car for Patie N re ents in Neu Interve uro entional IC CU Neuro Intervention Centre n

Fifteen and Nature of Appointm ment

Rs. 16,000 per month (Consolid h dated) Below 35 y years as on 30.09.2012. n
a)

On Year ( ne (may be ex xtended)

On Contract basis n

A gr rade Diplom in Gene Nursing and Midw ma eral g wifery with a least thre years exp at ee perience in clinical nur rsing.
OR

BSc N Nursing wit at least tw years ex th wo xperience in clinical nu n ursing

Qualific cation

b)

Should be a regis stered nurse and midw with reg e wife gistration cer rtificate from m a ouncil /any recognized br r ranch of Indi Nursing Council. ian Kerala Nursing Co

Mandatory: Should have two years ex xperience in Neurology / Ca N ardiology ICU or Neurosurgery / Cardiac Surgery ICU y or Diploma in N Neuro / Cardio Nursing.

WALK-IN INTERVIEW N ng he ates, a Wri itten Test Mode of Selection Dependin upon th number of candida f may also be conduc cted. Da & Time 10 a.m., Thursda 11 Oct ate ay, tober 201 12 Mini Confe erence Hall, 3rd Floor, AM MCHSS Venue Sree Chitra Tirunal Ins a stitute for M Medical Scien nces and Te echnology, Medical Co ollege Campu Trivandru us, um Repor rting time for Interview 8:30 a.m m.

Quali ified and inte erested candi idates should report with duly filled I d Interview Re eport Form (given below and Certif w) ficates in original to pro their qual ove lification, ex xperience and age at the d Regis stration Des Auditoriu Ground Floor, AMC Building, S sk, um, C SCTIMST.

RECR # 1 /12 /Proj.60 dtd. 21.09.2 16 084 2012

ADMINI ISTRATIVE OFFICER O

CHITRA T TIRUNAL INSTITUT FOR MEDICAL S TE M SCIENCES & TECHN S NOLOGY SREE C
THIRUVAN T NANTHAP PURAM 69 95011

INTERVIEW REPORT FORM

(All questions m l must be answ wered by the c candidate) Post applied for

Affix yo recent our Passpo ortsize Photograph

STAFF NU S URSE

RECR # 16/ R /12

1 2 3

Na ame (in CAPI ITALS) Se ex Ag ge Re egistration wit th Nu ursing Councill Date of birth D h eg. Re No

Da ate St in which r tate registered

5. Acad demic Record d

Sl. No 1 2 3 4 5 6

Na of Examination ame

Na of Board/ ame / Un niversity

Year of entry

Year of leaving

Year of passing

Class

10th 0 12 2th

ious Employm History ment y 6. Previ

Sl. No Nam & Address o me of employer Desiignation & Salary S Nature of Work Period

From

To

Reason for leaving g

(Contd in Page 2) 1/2 2

Fathers name 7 Occupation Address 8 Religion a. Are you a member of a Schedule Caste? b. Are you a member of a Schedule Tribe? c. Is any of your relatives is employed in SCTIMST? 10 11 12 13 Married or Single Physical characteristics Identification marks Height 1. 2. Caste
If YES, specify your caste. If YES, specify your Tribe. If YES, indicate name(s), relationship, designation etc.

11

If married, the name of spouse

cm Weight

Kg

Employment Exchange Registration No. and Date

14

Present Contact Address

Email Tel Mob

15

Permanent Address Tel Mob

16

If selected, approximate time required to join duty

17. Name & address of two references: (i)

(ii)

DECLARATION
I declare that the above-furnished details are true and correct to the best of my knowledge and belief. I am aware that in the event of my furnishing any false information, the Institute reserves its right to terminate my service without notice. Thiruvananthapuram

Date :

Signature of the Candidate 2/2