NATIONAL INSTITUTE FOR EMPOWERMENT OF PERSONS

WITH MULTIPLE DISABILITIES (NIEPMD)

(Dept. of Empowerment of Persons with Disabilities (Divyangjan), MSJ & E, Govt. of India)

ECR, Muttukadu, Kovalam Post, Chennai 603 112, Tamil Nadu

Fax: 044-27472389 Tel: 044-27472104, 27472113&27472046, 27472423, Toll Free No: 18004250345

Website: www.niepmd.tn.nic.in E-mail: niepmd@gmail.com

Employment Notice No.04/2019

The Director, NIEPMD, Chennai invites applicants for a walk in interview/selection process for engagement of Consultants from eligible candidates.

Venue: NIEPMD, DEPwD, MSJ&E, GOI, Muttukadu, Chennai-603 112.

Date: 15th February, 2019.

Time: 10.00 am.

Name of Position	Number	Educational Qualification	Remuneration
Occupational Therapist	1	Bachelor of Occupational Therapy	Rs. 325/- per session for four sessions per day.

Note:

This engagement will be purely temporary and only for a period of 89 days and the engagement will cease after the 89th day without any notice.

The incumbent will be paid honorarium on session basis only. No other allowances such as DA/ HRA /MA/ GPF/ NPS and other allowance will be admissible.

The incumbent will have no rights to claim for any regularization or extension/ renewal of engagement in any circumstances.

No application fee will be charged. Candidate to bring filled in application in the prescribed format.

Candidates to report with all testimonials/certificates in original and one set of self-attested true copies, two passport size photographs, Aadhar or any valid ID proof.

Sd/-

DIRECTOR, NIEPMD

National Institute for Empowerment of Persons with Multiple Disabilities

(Dept. of Empowerment of Persons with Disabilities (Divyangjan),

Ministry of Social Justice & Empowerment, Govt. of India)

East Coast Road, Muttukadu, Kovalam (Post), Chennai-603 112.

Tele Fax : +91-44-27472389, Telephone : 27472104, 27472113.

Toll Free No: 18004250345

Website: www.niepmd.tn.nic.in E-mail: niepmd@gmail.com

Application form

Post Applied For:

1. Advertisement No/Date:

2. Name in Applicant:

(in full Block Letters):

D D M M Y Y Y Y

3. Date of Birth:

(encloseCopy of Certificate)

4. Citizenship Status : Citizen of India By Birth By Domicile

(Please Tick)

5. Aadhaar No:

6. RCI/MCI Registration No:

(Applicable in case of Faculty

&Technical Positions)

7. Name of Father/Spouse:

8. Nationality: Indian Foreign NRI

9. Gender: Male Female others

10. Category : SC ST OBC General Ex-Service man

(Attach certificate)

Category

11. Are you Persons with Disability: Yes No OH VI HI others

(If yes, mention the category of

Disability with relevant Certificate )

12. Address for Communication:

House No & Street Name

Village/City:

District:

Post Office:

State:

Pin-code:

Phone No(Land Line):

Mobile No:

Email Id:

13.Details of Education starting from Matric (SSLC/X Std.,) onwards :- (to give details only onpassed courses &where Degree/Certificates etc., are already awarded/issued):

Academic Qualification	Discipline	University /Inst/Board	Year & Month of Entry	Year & Month Passed	Full Time/Part Time/Correspondence	% of Marks

14. Additional Qualification / Certificate Courses if any (Training, Apprentice programs

attended, refresher courses completed etc.)

Course	Duration	Certificate/ Organization	Whether Govt authorized/recognized	Class/Mark/details

15. Experience in chronological order upto the present post:

(Attach a separate sheet if required)

Name of Organization/	Designation/ Post held	whether on Regular Basis or on Deputation or on Contract Basis etc.,)	Salary drawn (Pay band + G.P to be mentioned in case of Govt. organization)	From	To	Nature of Work presently dealing with(attach proof/experience certificate	Total period of Exp in Years & Months

16. Why you think you are suitable for the post you have applied for (Details

within one page):

17.Referenceof three persons with whom you have interaction

during your work or study period)

S.No	Names, Designation and Address with Phone No & Mail ID
1
2
3.

18. Any other relevant information the applicant want to mention, if any (attach additional sheets if necessary):

DECLARATION OF THE APPLICANT

I hereby declare that the information given above is correct to the best of my knowledge and beliefand I fully understand that if it is found at a later date that any information given in the applicationis incorrect / false or if I do not satisfy the eligibility criteria, my candidature / appointment is liableto be cancelled / terminated.

Place :

Date : Signature of the Applicant D D M M Y Y Y Y