(i) The Competent Authority reserve the right to make any amendment, cancellation and changes in this advertisement in whole or in part without assigning any reason.

(ii) The candidates are advised to ensure that they fulfill the eligibility criteria as mentioned in the advertisement before applying for the posts.

(iii) Vacancies may increase or decrease at the time of interview by the orders of the competent authority. The vacancies indicated as above are provisional and includes anticipated vacancies. This is subject to change without any notice.

(iv)

Crucial date for determination of eligibility with regards to Educational Qualification and Experience will be the closing date of application

i.e. 06/01/2017 .

(v)

Candidates are advised in their own interest to apply much before the closing date and should not wait till the last date.

(vi)

In case the last date of receipt of application is declared holiday, the last date for receipt of the application will be considered as next working day.

(vii) Incomplete applications in any respect will not be considered. All previous applications received in this hospital are treated as canceled and only application in response to this advertisement on prescribed pro forma attached herewith will be considered.

(viii) Applications received late and unsigned will not be entertained. The Hospital will not be responsible for late receipt of application due to postal delay.

(ix)

It is not obligatory on the part of the Hospital to call for interview every candidate who possess the essential qualifications. The competent authority reserves the right to shortlist candidates on the basis of higher qualification/years of experience in the subject. The decision of the Director, BMHRC will be final in this regard.

(x)

The interview call letters, if short listed, shall be sent by speed/ registered post. However, the Hospital shall not be responsible for any postal delay/lapse, whatsoever.

(xi)

Any canvassing by or on behalf of candidates or to bring political or other outside influence with regard to selection / recruitment will lead to disqualification.

(xii) No correspondence or personal inquiries shall be entertained.

(xiii) As the engagement of Consultant would be on fulltime contract basis they would not be permitted to take up any other assignment either part time or full time during the period of consultancy.

APPLICATION FORM

Affix a

BHOPAL MEMORIAL HOSPITAL & RESEARCH CENTRE

recent Raisen Bypass Road, Karond, Bhopal462038 (MP) Pass Port (Department of HealthResearch, MoHFW, Govt. of India) Size Photograph

Advt. No.48/2016

Application for the Post of : Consultant (Administration).

Name of the Applicant

1. Sex : Male

2. Female

Father's Name

Name of the Spouse

Date of Birth

Age as on06/01/2017

Present Address

Permanent Address

Nationality

: ________________________________________________________ Marital Status : Married

Unmarried:________________________________________________________

:________________________________________________________ :________________________________________________________ : : ________________________________________________________

Days	Months	Years

: ________________________________________________________

: ________________________________________________________ Mobile No. : _______________________________________ Email : _____________________________________________

:________________________________________________________ :________________________________________________________ : _______________________ Telephone No.____________________ Mobile No. : _______________________________________ : _________________________

// 2 //

10. Educational Qualification: (Enclose photocopies of degree/diploma certificates & mark sheets)

Examination	Subjects	Board/ Council/University	Month& Year of Passing	Aggregate % of Marks	No. of Attempts	Award/ Distinction
Xth (HSC)
XIIth (HSSC)
Graduation

11. Current Activities :

// 3 //

12. Experience: (Enclose copies of Work Experience Certificates )

Name of the Present & Previous Employer withAddress /Contact Nos.	Present/ Previous Post	Period			Nature of Work
		From		To

(Use separate sheet if space is inadequate)

1. Name andaddress of tworeferees knowingthe applicant's work :
   
   
2. Details of relatives in BMHRC if any :
   
   

Name	Occupation or Position	Address withtelephone No. & email

Name

Post & Department

Telephone No. & email

// 4 //

1. Any other information youwishtoadd:
   
   
2. Check List : ( Please tick inthe box givenbelow as proof of enclosures. ) All Certificates must be duly self attestedandbe attached inthe followingorder :
   
   

(i)

Certificate in support of age ( 10^th) ....................................................

(ii)

Mark Sheet of 10+2 ...............................................................

(iii) Mark Sheets of Degree...................................................

(iv)

Certificate of Degree .....................................................

(v)

Experience Certificate ..........................................................................

(vi)

Last Pay Certificate .

(vii) Retirement order

DECLARATION

I, ____________________________________________ declare that the information furnished above is true and correct to the best of my knowledge and belief and no related information is concealed. I am aware that if any of the above statements are found to be incorrect or false or any material information or particulars of relevance have been misstated, suppressed or omitted, I am liable to be disqualified for appointment and if appointed, my appointment will be liable to be terminated.

Place : .................................. Date : .................................... (Signature of the applicant ) Full Name :

• Organization : Bhopal Memorial Hospital and Research Centre
• Organization City, State : bhopal, madhya pradesh
• Organization Website : www.bmhrc.org