GOVERNMENT OF WEST BENGALOFFICE OF THE DISTRICT HEALTH & FAMILY WELFARE SAMITI11, DR. P. K. BANERJEE ROAD, LICHUBAGAN, HOWRAH - 7111O1

No. DHFWS / HOw 1L486 Date: 23lOSl2OL8

Walk-in Interview will be conducted for the Medical Officers on contractual basis in theDistrict of Howrah District under different National Programmes:

The initial contract period is up to 31"t March 2079 and it may be renewed for furtherperiod depending on need and performance of the candidates.

Desiring Medical Officers may attend the walk-in interview on 8th June 2018 {Friday)within 1I:OOAM along-with the specific filled-in application format at the Bungalow Office ofthe CMOH, 11, Dr. P. K. Banerjee Road, Lichubagan, Howrah-7ll1O1 (Near Mallikphatak,between Correctional Home (JaiU & BSNL Of{ice. The candidate should be physically fit toattend daily duty. This is to further inform that candidates must be present at the time of walk-in interview along-with all required documents and no third party will be allowed at the time ofinterview. No change of date and time will be entertained from this end. No separate Admit Cardfor appearing in walk-in interview will be issued.

The candidates must bring the filled in Application Format is mentioned hereunder along-with all Original documents for appearing in the walk-in interview:

o Photo proof identity card (Passport or Voter ID Card or AADHAR Card or Pan Card)o Proof of Address (Passport or Voter ID Card or ADHAR Card or Ration Card). Proof of Age Certificate (Madhyamik or equivalent examination certificate/Admit Card)o A1l marksheets and pass certificates starting from Secondary onwards (including MBBS)o Registration Certificate under West Bengal Medical Council & Medical Council of India. Proof of Caste Certificate, if applicable.. All the post qualification experience certificates issued and stamped by the appropriate

authority starting from oldest to latesto Experience certificates must consist of Name of the Post, Employer's & Employee's

Names, Date of Joining and Date of Leaving otherwise his/her experience will be treatedas invalid. No appointment letter will be treated as experience

Venie r *Wa{",lf n"'rtn oMUmber Secretary, DH&FWS, Howrahd7

PostNo.

Name of thepost

Place ofposting No. of Post Eligibility

ConsolidatedRemuneration

per month

01Medical Officer- Full Time:NUHM)

HMC(includingBally Sub-

Unit) &Uluberia

Municipality

18(sc-05, sT-O1,

oBC-A-02,OBC-B-01, UR-

0e)

r MBBS from a MCI recognizedInstitute with 1 yearcompuisory internship.

o Must be registered underWest Bengal Medical Council

o Permanent resident of WestBengal.

. Age: 66 yrs or less as on01.01.2018

Rs.40,000/-

o2Seneral DutyMedical OfficerINRHM)

Anyupgraded

BPHC/PHC(deliverypoint) inHowrah

o2(sc-1 & uR-1)

a MBBS recognized by MCIAge: 65 yrs or less as on01.01.2018

a Rs.40,000/-

03

Vledical OfficerThalassaemialontrol?rogramme)

UluberiaSDH TCU

01(UR)

. MBBS recognized by MCIo Desirable: DCH / Experience

in working withThalassaemia patient

. Age: 63 yrs or less as on01.01,2018

Rs.40,000/-

Enclosur ez Application Format

APPLICATION FORM (Fill-in the form in CAPITAL LETTER only)

Post Applied for

1. Name:

2. Father’s / Mother’s / Husband’s Name :

2. a. Date of Birth :

b. Age as on 01.01.18 : ___ Yrs ___ Months

3. District of Domicile:

4. Sex (M/F/O):

5. a. Address for Communication:

b. Permanent Address:

6. Caste (SC /ST /OBC-A /OBC-B /Unreserved):

7. Present Telephone No :

8. Email Address:

9. Mobile No.:

10. Education: please list all qualifications (MBBS onwards)

Degree University / Board etc.

Year of passing Full Marks % of Marks obtained

Division / Class / Chance

Add recent Colour

passport size self

photograph

11. Employment Record:

(Total years of post-qualification experience) :

12. Details of Employment: (Use separate sheets if required).

Starting with your present employment, list in reverse order all the employments you have had.

12 A. Current Employment:

Name of Employer:

From

Month / Year

To

Month / Year

Designation

Location of Employment:

Description of your duties:

12 B. Previous Employment:

Name of Employer:

From

Month / Year

To

Month / Year

Designation

Location of Employment:

Description of your duties:

12 C. Previous Employment:

Name of Employer:

From

Month / Year

To

Month / Year

Designation

Location of Employment:

Description of your duties:

13. For the post of : Medical Officer-

A. Whether 01 year internship done (Yes / No)___________

B. Whether Registered under West Bengal Medical Council (Yes / No)? _____ Registration Number :__________

C. Whether Permanent Resident of West Bengal (Yes / No)? _______________

Declaration

I hereby solemnly declare that the information furnished above are based on material records and are true to the best of my knowledge and belief. If any information furnished or any part of it is found to be incorrect, then I do believe and understand that my candidature for contractual recruitment to the post I have applied for is liable to be cancelled without any further intimation to me.

Place :

Date : Signature of the Applicant