WALK-IN- INTERVIEW FOR ENGAGEMENT OF DOCTORS

at IIT Patna Hospital

(To be submitted in person on the day of interview)

POST APPLIED FOR Space for Photo

1

Advertisement date and Newspaper 2

Name in Block letters 3

Fathers name 4

Date of Birth 5

Age on closing date (As on date of walk in Interview)

6

Permanent address with Pin code 7

Correspondence address with Pin code 8

Name of Department retired from (if applicable) 9

Whether Central / State / PSU retired 10

Post held 11

Date of appointment 12

Date of Retirement 13

No. of years of experience 14

Mobile No 15

E-mail address, if any 16

Any other information

CHECK LIST OF DOCUMENTS DULY SELF ATTESTED

	Matriculation Mark sheet/Certificate for Date of Birth
	U.G. / P.G. Degree (As applicable)
	Registration Certificate from respective Council/ Board approved by the Govt.
	Experience Certificate
	Retirement Order
	Pension Payment Order (PPO)/Last Pay Certificate

Place: -Signature of the Candidate Date:

(Please use additional sheet if necessary)

Annexure II

Terms and conditions governing the appointment of Part Time doctors on Contract Basis at IIT Patna Hospital.

1. The appointment is purely on part time contract basis for a period of one year , with effect from the date of joining. The contract can be further extended for next two years (on yearly basis) based on performance. On renewal of the contract, every year maximum 10% increase in remuneration will be considered. The appointment can be terminated at any time (on either side) by giving one months notice or by paying one months salary, without assigning any reason.
   
   
2. The consolidated remuneration will be Rs.5000 per visit for 4 hours weekly or maximum upto 40,000/per month for allopathic specialist doctors during first year.
   
   
3. The appointee shall perform the duties assigned to him/her. The competent authority reserves the right to assign any duty as and when required. No extra / additional allowance will be admissible in case of such assignment.
   
   
4. The appointee shall not be entitled to any benefit like Provident Fund, Pension, Gratuity, Medical Attendance Treatment, Seniority, Promotion etc. or any other benefits available to the Government Servants, appointed on regular basis.
   
   
5. Non practicing allowance will not be admissible.
   
   
6. The appointee will not be granted any claim or right for regular appointment to any post under IIT Patna.
   
   
7. Only consolidated salary will be admissible. No Dearness Allowance and other allowances as are admissible to the Central Govt. servants shall be admissible.
   
   
8. The appointment to the said post will be subject to physical fitness from the competent medical board for which he/she will be sent to the designated medical Authority after his / her joining and in case he/she is found medically unfit, he / she will be discharged from the said appointment forthwith
   
   
9. The appointee is not entitled to any TA for joining the appointment.
   
   
10. If any declaration given or information furnished by him/her proves false or if he/she is found to have willfully suppressed any material, information, he/she will be liable to removal from Contract and also such other action as the IITP administration may deem necessary.
    
    
11. Any other terms and conditions received or changed from Directorate and as per rules.
    
    

If Dr.________________________________ accept the contract appointment on the above terms and conditions. I will immediately convey the acceptance within 03 days from date of receipt of letter of appointment and report for duty within 15 days from date of acceptance to the Registrar IIT Patna, failing which it will be presumed that I am not interested in the appointment offered and the same will be treated as cancelled.

Dated:-. Signature:. Mobile No:-.. Name:-.. Address:-