Professional Documents
Culture Documents
ADVERTISEMENT
Directorate of Medical & Health Services, Dadra & Nagar Haveli and Daman &
Diu, Silvassa invites applicationfrom eligible candidates for below mentioned Teaching
and Non-Teaching posts to be filled on Short term contract basis under NAMO Medical
Education &
Research lnstitute, Shri Vinoba Bhave lnstitute of Atlied Health
Sciences, Shri Vinoba Bhave Gollege of Nursing, AB-PMJAY, Directorate of
Medical & Health Services, Silvassa and Rogi Kalyan Samiti, Silvassa. The
application should reach the undersigned on or before o o 2o
A) Teachinq oosts v ant under NAMO Medical Education & Research lnstitute.
F)Posts vacant under Roqi Kalvan Samiti. Shri Vinoba Bhave Givil Hospital.Silvassa
i.Tu2
l/
(Chief Medical Officer)
Medical & Health Seruice
DNH&DD
Application for post of Teachino Staff
ADMINISTRATION OF
DADRA & NAGAR HAVELI AND DAMAN & DIU, UT
DIRECTORATE OF MEDICAL & HEALTH SERVICES
NAMO MEDICAL EDUCATION & RESEARCH INSTITUTE
in (subject)
E-mail 1D.............
5. Sex : Male/Female
9. EducationalQualification
Sr. Teaching Post Name of Total Period Total Experience For officer
No. Held lnstitution From To Yrs Mths use
t--] (Score)
=
Total Teaching ExPerience-
11. Non Teachinq Exoerience
Sr.
Designation Organization Duration Nature of Duties
No.
From To Total Exp.
_
Date of Registratior U G P.G_
Name of Council U.G. P.G
Undertakinq
I declare that information stated above are true to the best of my knowledge. lf above lnformation
is found to be false; I am bound to obey the decision of selection committee.
Place:
Date:
Signature of Applicant
' Attested Copies of Relevant Certificate / Documents should be attached along with
application Form
, lncomplete or Unsigned Application will be rejected
Application forn for posts under Directorate of Medical & Health Services, Shri
Vinoba Bhave College ot Nursing, Shri Vinoba Bhave lnstitute of Allied Health
Sciences, AB-PMJAY, Rogi Kalyan Samiti, Silvassa and Non- Teaching (NAMO
Medical College).
APPLICATION FOR|\il
DIRECTORATE OF MEDICAL & HEALTH SERVICES
UT OF DADRA & NAGAR HAVELI AND DAIVAN & DIU
Father's name:
Address for
communication
E mailaddress
Category ST/ SC/ OBC i Others (ailested copy ofvalid Proof should been closed)
Domicile of D&NH
Yes / No. (attested copy of Domicile Certifcate issued by l\4amlatdar,
Language Known
Educational Qualification :
H.S.C
Graduation in
Post Graduation
in
Any other
Please specify
Work Experience :
Sr.
No.
Designatior Organization Duration Nature of Duties
Total
From To
Exp.
I hereby declare that all the statements made by me in the application form
and information sheet are true and complete to the best of my knowledge and
belief. I also understand that in case, any of my statements is found untrue during
any stage of recruitmert and thereafter, I shall be disqualified for the post applied
for and I shall be liable for any penal action.
Date: