Terms and conditions

1. 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 or principal investigator. Also the candidates have no right to claim permanent employment based on this job.
   
   
2. Selected candidates have to carry out extensive touring and collect data in field.
   
   
3. No TA/DA will be paid for attending the interview. Interested candidates may appear for walk-in interview. Candidates should bring duly filled application form (As per the prescribed Performa) and all original certificates of educational qualifications, experience certificate along with a photo and set of self attested photocopies at the time of interview.
   
   

Date and time of Walk in Interview:

Reporting Time: : Between 10 AM to 11 AM Date of Walk-in-Interview : 28/02/2017

Venue: Gate No. 05, Committee Room, Medical College Building, All India Institute of Medical Sciences, Tatibandh, G.E Road, Raipur, Pin: 492099

For any queries write to: ntfraipur@gmail.com

() ,

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 Nurse ICMR Multicentric National Task force project entitled Prevalence and Epidemiological study of Hearing Impairment 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	Percentag e

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 Servie? 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 :-________________________________________