Terms and conditions

1. Age and all other qualifications will be counted as on the last date of application.
   
   
2. These are tenure vacancies under funded project and are not employment on AIIMS Raipur pay roll. Employment will automatically terminate upon completion of the project and there is no liability for permanent employment on AIIMS, Raipur. Also the candidates have no right to claim permanent employment based on this job.
   
   
3. Candidates should submit duly filled application form (As per the prescribed Performa) along with the following documents to Sr. Administrative Officer, Medical College Building, Gate No. 05, All India Institute of Medical Sciences Raipur, Tatiband, G.E Road, Raipur, Pin: 492099, (C.G.) on or before 17/02/2017 by speed post/registered post only. The envelope should be super-scribed APPLICATION FOR THE POST OF......
   
   

i). Duly filled prescribed application form.

ii). Photocopy of Identification proof viz. Adhar Card, Voter ID Card,

Passport or any other Govt. identity proof)

iii). Self attested certificate, mark sheets and degrees.

iv). Proof of Age.

v). Experience Certificates.

vi). NOC (No Objection Certificate) for those Candidates who are working in

Govt. Organization.

vii). Two passport size Photograph.

viii). Any other relevant document.

1. No TA/DA will be paid for attending the written examination/interview.
   
   
2. Last date of receipt of application is 17/02/2017 (05:00 PM).
   
   

() ,

All India Institute of Medical Sciences, Raipur (Chhattisgarh)

G. E. Road, Tatibandh,

Raipur-492 099 (CG) www.aiimsraipur.edu.in

Application Form for the post of_____________________________________________ in a project under State Health Services and UNICEF for Microbiological Surveillance of SNCUs of Chhattisgarh for a tenure of 11(eleven) months in AIIMS Raipur

Affix Passport Size self

1. Name of the post applied for :-_______________________________________

attested colour photograph

2. Name of the Project :-_____________________________________________

here.

1. Name in block letters :
   
   
2. Father / Husbands Name in block letters:
   
   
3. Guardian Name and Phone Number :
   
   
4. Postal Address:
   
   
5. E-mail ID :-_______________________________________________________
   
   
6. Permanent Address :
   
   

Contact Number:

Contact Number:

1. Date of Birth with documentary evidence:
   
   
2. Category: UR/OBC/SC/ST
   
   
3. Gender :-Male Female
   
   

Date

Month

Year

12. Educational Qualification:-

Name of the Examination	Subject/ Discipline/ Speciality	University/ Institute/ College	Date of completion of course	Month & Year of Passing final examination	Marks obtained	Percentage

1. Work Experience:-
   
   
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____________________________________________________________________________
   
   

Sr. No.	Period		Post held and scale of pay	Name of the employer	Reason for leaving
	From	To
1
2
3
4
5

Declaration

I solemnly affirm that the information furnished above is true and correct in all respects to the best of my knowledge. I have not concealed any information. I undertake that any information furnished herein is found to be incorrect or false, I shall be liable for action as per rules in force.

Date :-____________________________

Place :-____________________________

Name of Candidate :-________________________________________

Signature of Candidate :-________________________________________