- ()

, , -695019

CSIR-NATIONAL INSTITUTE FOR INTERDISCIPLINARY SCIENCE AND TECHNOLOGY

Industrial Estate PO, Pappanamcode, Thiruvananthapuram-695019

./ADVERTISEMENT No. PA/05/2015

CSIR-NIIST, Thiruvananthapuram invites applications from experienced male
medical practitioners (Allopathy) for part-time engagement at CSIR-NIIST
Dispensary.
1. Educational Qualification:
MBBS degree with Medical Council registration.
2. Duration of engagement:
3 hours per day on all days (except Sundays and public holidays). Working
hours will be as per our Dispensary Timings in between 7.30 AM and 7.00 PM.
The engagement is initially for a period of 6 months.
3. Remuneration:
A consolidated remuneration of
7360/- hour per month i.e.
month for performing three hours duty per day.

22,080/- per

4. Termination:
The engagement can be terminated from either side by giving one months
notice.
Application in the prescribed proforma (appended below) alongwith self-attested
copies of certificates (MBBS Degree certificate, Medical Council registration
certificate, experience certificate and other testimonials) may be send to the following
address latest by 01-06-2015 5:30 PM.

The Controller of Administration

CSIR-NIIST, Industrial Estate P.O.
Thiruvananthapuram
KERALA 695019.
NB: Retired persons also can apply.
Sd/ /Controller of Administration

CSIR-NATIONAL INSTITUTE FOR INTERDISCIPLINARY SCIENCE AND TECHNOLOGY

Industrial Estate PO, Pappanamcode, Thiruvananthapuram - 695019

Application Form for Part-time Medical Officer (Male)

1. Advertisement No.

PA/05/2015

2. Post applied for

3. Name

Affix your
recent colour
passport size
photograph

4. Fathers Name
5. Nationality (mention
by Birth / Domicile)
6. Date of Birth (As per
Matriculation / SSLC
Certificate)
7. Age (as on 01-06-2015)

Day

Month

Years

Month

Year
Days

8. Present Postal Address

with Phone Number &
e-mail address.
(for communication
purpose)

9. Permanent Address

10. Educational/Professional Qualification

Examination/
Board/
Subject
Degree
University

Year of
passing

Class/
Divn.

% Marks
or GPA

Contd..02.

..02..
11. Details of Certificate of Registration:

12. Details of work experience:

Period
Name of Organisation & Place
From

Designation/Post held

To

13. Particulars of close relatives, working in CSIR/NIIST, if any

Division/Section
Position

Date of Joining

14. List of enclosures:

DECLARATION
I understand that the contractual appointment is purely temporary and I hereby
declare that the information given above is correct, true to facts and nothing has been
concealed / distorted. I am aware that, if at any time I am found to have
concealed/distorted any material information, my candidature/engagement is liable to
be summarily terminated without notice.

Date: _________________________
Place : _______________________________

(Signature of the Candidate)