Professional Documents
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G4s\"?'/
(Prof. (Dr.) Sarmila Mailik)
[Tamralipto Government Medical College & Hospitalj
(Tamluk, Purba Medinipur, pin-72f 636)!
YuIo,Io lqMgf/
uopy rorwarded
lqf,t?g2zfl ( t ) Dated, ramtuk, the 10th May,2o2z
ior intormaiion &nci n-ec5ssary aciion please to:-
1. The Director of Medical Education Service, West Bengal, Swasthya Bhaban, Kol-91.
2. The District Magistrate, purba Medinipur.
3 The Special Secretary, MERT, Swasthya Bhaban, Kolkata_91.
4. The MSVP, Tamrolipta Government Medical College & Hospital, purba Medinipur
5. The A.ccounts oJficer, Tamrolipta Govt. Medicalcjlege & Hospital, Tamluk.
6. iT ceii for Vrleb posiing
principal
(Prof. (Dr.) Sarmila Mallik)
(Tamralipto Government Medical College & HospitalJ
(Tamiuk, purba Meciinipur, pin-7Zi 6Q6)
\,
Annexure l_
PROFORMA OF APPLICATION
Aifix your
rd))pur L rrrc
1. Name (CAPITAL LETTERS): photograph
2. Father's Name:
4. Date of birth
5. Itlobile Number':
6. Emaii iD:
7. Registration No.
8. lnternship Completion Date:
9. Academic Details.
(GOvt. or Privete)
N.B Theaforesaiddocumentsaretobeproducedoriginallyatthetimeof
interviewif required.
3' I shail not be attached with any other institution curing the
tenure of my House staff ship at
-Tamroripto
Government Mecjicai Coilege & i{ospital,
Tamluk, purba Medinipur.
4' I hope you wi, give me an
opportunity to serve you to the best
of my abirity and knowredge
Thank.ng you
Piace;
Date
signature of applicant
Annexure il
of ramralipto Government
staff ship in Different Discipline
Resident/ House
Seat Matrix of Junior
MedicalCollege&Hospital,Tamluk,PurbaMedin,>
for27 Vu..n.Y
tina vi.rn.Y lor't4 seats
Namg oT ul5utPtrtt" seats
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