Date of Interview: 15^{th Feb 2018 Venue: Conference Room, 1st Floor, Academic Block, AIIMS, BBSR Time of reporting : 10:00 a.m.}

Terms and conditions:

1. These are tenure vacancies under funded project and are not employment on AIIMS Bhubaneswar pay roll. Employment will automatically terminate upon completion of the project and there is no liability for permanent employment on AIIMS, Bhubaneswar or Principal Investigator.
   
   
2. Also the candidates have no right to claim permanent employment based on this job.
   
   
3. Selected candidates have to carry out extensive touring and collect data in field.
   
   
4. No TA/DA will be paid for attending the interview.
   
   

Dr. Saroj Kumar Das Majumdar, Additional Professor (Principal Investigator) Department of Radiotherapy, AIIMS, Bhubaneswar Odisah-751019

Contact information

sarojmajumdar@gmail.com, mukundnsable@gmail.com

943884066

	APPLICATION FORM
1. Name of the Post Applied for	:
2. Name of the Project	:
3. Name in Full (block letters)	:
4. Mothers Name	:
Fathers/Husbands Name	:
Guardian Name and Phone No.	:
5. Address for correspondence	:
With phone number &
Email id.(mandatory )
6. Permanent address	:
7. Date of Birth	:
8. Whether SC/ST/OBC/General	:	Caste :
9. Marital status	: Married/Unmarried
10. Educational qualifications	:

Photograph

Sl. No.	Exam Passed	Grade	Year of passing	Board/University	specialization

11. Work experience :

Sl. No.	Period From To		Post held and scale of pay	Name of the employer	Reason for leaving

1. Employment exchange details (if available) : No.. Exchange...
   
   
2. If selected what period would you require for joining the post :
   
   
3. Have you ever been declared unfit by a medical board/court.Yes/No. for appointment in any government service? If yes, details.
   
   

DECLARATION

I hereby declare that the particulars furnished in this form by me are true to the best of my knowledge and belief.

Date:

Place: Signature of the Candidate