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INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) NABH Accredited Hospital for Patient Safety Quality Care (No. H-2012-0123) (Hospital based autonomous academic Institute, under Government of National Capital Territory of Delhi dealing with) “Brain- Mind Problems & Their Solutions” Dilshad Garden, Delhi 110 095 (India) Tel.: 22597750 Fax: 22114066, E-mail: [email protected] Website: www.ihbas.delhigovt.nic.in ========================================================================================== Advt.No. 03/2018/Estt./IHBAS RECRUITMENT NOTICE IHBAS intends to fill up the following posts as per details given below: S. No. Name of Posts Method of Recruitment No. of Posts Pay Matrix/Consolidated remuneration 1 Assistant Administrative Officer Deputation 01 Level-8 (Rs.47600-Rs.151100) 2 Assistant Engineer (Electrical) Deputation 01 Level-7 (Rs.44900-Rs.142400) 3 Assistant Director (Horticulture) Deputation 01 Level-7 (Rs.44900-Rs.142400) 4 Computer Assistant Deputation 01 Level-6 (Rs.35400-s.Rs.112400) 5 Junior Engineer (Civil) Deputation 01 Level-6 (Rs.35400-s.Rs.112400) 6 Junior Engineer (Electrical) Deputation 02 Level-6 (Rs.35400-s.Rs.112400) 7 Medical Record Officer Contract 01 (UR) Rs.61701/- per month 8 Technical Assistant (ICU) (for Neurology Department) Contract 01 (posts reserved for PwD) HH, VH(B,LV), OH (OA.OL) Rs.43518/- per month 9 ICU Technician (for Neurology Department) Contract 01 (OBC) Rs.43518/- per month 10 Data Entry Operator Contract 03 (posts reserved for PwD) OH(OA.OL.OAL.BL), VH(LV).HH Rs.26775/- per month 11 Medical Record Technician Contract 01 (posts reserved for PwD) OH(OA.OL.OAL. BL) HH Rs.43518/- per month 12 Medical Record Clerk-in-charge Contract 01 (UR) Rs.38745/- per month 13 Medical Record Clerk Contract 01 (UR) Rs.29159/- per month (HH= Hearing Impaired, OH= Orthopedically Impaired, OA=One Arm, OL=One Leg, BL=Both Leg , VH= Visually Impaired, B=Blind, LV=Low Vision, OAL=One Arm and One Leg) Instructions The Applications duly filled alongwith necessary documents such as attested photocopies of the ACRs/APARs for the last five year and Vigilance Clearance/Integrity certificate (in original) must be enclosed with the applications for the posts mentioned at Sl. No for Sl. 1 to 6. Candidate applying for the posts mentioned at Sl. No.7 to 13 may send application in appropriate Format, photograph, along-with attested copies of Educational Qualification, Experience Certificates. Bank Draft (exempted for SC, ST & PWD Candidates) in favour of Director, IHBAS, Delhi for Rs. 500/- for the posts mentioned at Sl. No. 01 to 07 and Rs.250/- for the posts mentioned at Sl. No. 09, 12 & 13 respectively may be forwarded alongwith the application form. For the posts at Sl. No.8, 10 & 11 no Demand Draft required as the post is reserved for PwD. The candidates for the posts mentioned in Sl. No. 01 to 06, selected will be appointed on Deputation basis in terms of DOPT’s OM No. 06/08/2009-Estt.(Pay II) dated 17.06.2010. For the post at Sl.No.07 to 13 purely on Contract Basis. For details of eligibility criteria i.e. Qualification, Experience, Age Pay/Consolidated remuneration & Application Format etc. please visit our website (www.ihbas.delhigovt.nic.in). The list of short listed candidates for the posts fill-up on contract basis will be uploaded on IHBAS website (www.ihbas.delhigovt.nic.). Last date for submission of application form complete in all respect is 11.06.2018. Administrative Officer IHBAS MENTAL ILLNESSES ARE TREATABLE

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Page 1: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) NABH Accredited Hospital for Patient Safety Quality Care (No. H-2012-0123)

(Hospital based autonomous academic Institute, under Government of National Capital Territory of Delhi dealing with)

“Brain- Mind Problems & Their Solutions” Dilshad Garden, Delhi 110 095 (India)

Tel.: 22597750 Fax: 22114066, E-mail: [email protected] Website: www.ihbas.delhigovt.nic.in

==========================================================================================

Advt.No. 03/2018/Estt./IHBAS

RECRUITMENT NOTICE

IHBAS intends to fill up the following posts as per details given below:

S. No.

Name of Posts

Method of Recruitment

No. of Posts Pay Matrix/Consolidated remuneration

1 Assistant Administrative Officer Deputation 01 Level-8 (Rs.47600-Rs.151100)

2 Assistant Engineer (Electrical) Deputation 01 Level-7 (Rs.44900-Rs.142400)

3 Assistant Director (Horticulture) Deputation 01 Level-7 (Rs.44900-Rs.142400)

4 Computer Assistant Deputation 01 Level-6 (Rs.35400-s.Rs.112400)

5 Junior Engineer (Civil) Deputation 01 Level-6 (Rs.35400-s.Rs.112400)

6 Junior Engineer (Electrical) Deputation 02 Level-6 (Rs.35400-s.Rs.112400)

7 Medical Record Officer Contract 01 (UR) Rs.61701/- per month

8 Technical Assistant (ICU) (for Neurology Department)

Contract 01 (posts reserved for PwD)

HH, VH(B,LV),

OH (OA.OL)

Rs.43518/- per month

9 ICU Technician (for Neurology Department)

Contract 01 (OBC) Rs.43518/- per month

10 Data Entry Operator Contract 03 (posts reserved for PwD)

OH(OA.OL.OAL.BL),

VH(LV).HH

Rs.26775/- per month

11 Medical Record Technician Contract 01

(posts reserved for PwD) OH(OA.OL.OAL. BL) HH

Rs.43518/- per month

12 Medical Record Clerk-in-charge Contract 01 (UR)

Rs.38745/- per month

13 Medical Record Clerk Contract 01 (UR)

Rs.29159/- per month

(HH= Hearing Impaired, OH= Orthopedically Impaired, OA=One Arm, OL=One Leg, BL=Both Leg , VH= Visually Impaired,

B=Blind, LV=Low Vision, OAL=One Arm and One Leg)

Instructions

The Applications duly filled alongwith necessary documents such as attested photocopies of the ACRs/APARs for the last five year and Vigilance Clearance/Integrity certificate (in original) must be enclosed with the applications for the posts mentioned at Sl. No

for Sl. 1 to 6. Candidate applying for the posts mentioned at Sl. No.7 to 13 may send application in appropriate Format, photograph, along-with attested copies of Educational Qualification, Experience Certificates. Bank Draft (exempted for SC, ST & PWD Candidates) in favour of Director, IHBAS, Delhi for Rs. 500/- for the posts mentioned at Sl. No. 01 to 07 and Rs.250/- for the posts mentioned at Sl. No. 09, 12 & 13 respectively may be forwarded alongwith the application form. For the posts at Sl. No.8, 10 & 11 no Demand Draft required as the post is reserved for PwD.

The candidates for the posts mentioned in Sl. No. 01 to 06, selected will be appointed on Deputation basis in terms of DOPT’s OM No. 06/08/2009-Estt.(Pay II) dated 17.06.2010. For the post at Sl.No.07 to 13 purely on Contract Basis. For details of eligibility criteria i.e. Qualification, Experience, Age Pay/Consolidated remuneration & Application Format etc. please visit our website (www.ihbas.delhigovt.nic.in). The list of short listed candidates for the posts fill-up on contract basis will be uploaded on IHBAS website (www.ihbas.delhigovt.nic.). Last date for submission of application form complete in all respect is 11.06.2018.

Administrative Officer IHBAS

MENTAL ILLNESSES ARE TREATABLE

Page 2: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of Delhi)

Dilshad Garden, Delhi 110 095 (India)

INVITES APPLICATIONS FOR FILLING UP FOLLOWING ADMINISTRATIVE AND ENGINEERING POSTS ON DEPUTATION/CONTRACT BASIS

Details of eligibility criteria i.e. Qualification, Experience, Age of the following posts are as under: Sl.No.01

Name of Post Assistant Administrative Officer

No. of Posts 01(One)

Pay Matrix Level -8 (Rs.47600-Rs.151100)

Mode of Recruitment On Deputation Basis

Eligibility Criteria From the officer/official holding analogous post on regular basis or having 7 years of regular service in Pay Matrix Level-7; Rs.44900-Rs.142400 (PB-2: Rs.9300 – 34800 + GP Rs.4600 as per 6th CPC) in Central/State/Govt. of NCT of Delhi preferably Govt. of NCT of Delhi.

SI. No. 2

Name of Post Assistant Engineer (Electrical)

No. of Posts 01(One)

Pay Band : 2 Level-7 (Rs.44900-Rs.142400)

Mode of Recruitment On Deputation Basis

Eligibility Criteria (a )Degree in Electrical Engineering from a recognized University; AND (b)(i)Officials holding analogous posts in Pay Matrix Level-7; Rs.44900-Rs.142400 (PB-2: Rs.9300 – 34800 + GP Rs.4600 as per 6th CPC) in Central/State Govt./Autonomous Bodies/PSU Undertaking on regular basis. OR (ii)Person having 5 years regular services as Junior Engineer (Elect.) in Pay Matrix Level-6; Rs. 35400 – Rs.Rs.112400 (PB-2: Rs.9300 – 34800 + GP Rs.4200 as per 6th CPC) in Central/State Govt./Autonomous Bodies/PSU Undertaking on regular basis.

SI. No. 3

Name of Post Assistant Director (Horticulture)

No. of Posts 01(One)

Pay Band : 2 Level-7 (Rs.44900-Rs.142400)

Mode of Recruitment On Deputation Basis

Eligibility Criteria Officers of the Central/State Govt./Autonomous Organisation. (a ) Holding analogous posts on regular basis OR (b) Possessing educational qualifications and experience prescribed for the post as under:

(a) Minimum 15 years experience as Sectional Officer (Horticulture) . (b) Post Graduate in Agricultural Science.

SI. No. 04

Name of Post Computer Assistant

No. of Posts 01 (One)

Pay Matrix Level-6 (Rs.35400-112400)

Mode of Recruitment On Deputation basis

Eligibility Criteria (i) From the official holding analogous post on regular basis. (ii) Data EntryOperators having 6 years regular service in Pay Matrix Level-4;

Rs.25500-81100 (Pay Band: 1 Rs. 5200-20200+Grade pay Rs. 2400/- as per 6th CPC) in Central/State/Govt. of NCT of Delhi, preferably from Govt. of NCT of Delhi

Sl. No. 05

Name of the Post Junior Engineer ( Civil)

No. of Posts 01( One)

Pay Matrix Level-6 (Rs.35400-Rs.Rs.112400)

Mode of Recruitment On Deputation Basis

Eligibility Criteria (a ) Diploma in Civil Engineering from a recognized Institute; AND (b) Officials holding analogous posts in Pay Matrix Level-6; Rs. 35400– Rs.112400 (PB-2: Rs.9300 – 34800 + GP Rs.4200 as per 6th CPC) in the Central/State Government/Autonomous Bodies/PSU Undertaking on regular basis.

Page 3: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

Sl. No. 06

Name of the Post Junior Engineer ( Electrical)

No. of Posts 02( Two)

Pay Matrix Level-6 (Rs.35400-Rs.Rs.112400)

Mode of Recruitment On Deputation Basis

Eligibility Criteria (a ) Diploma in Electrical Engineering from a recognized Institute; AND (b) Officials holding analogous posts in Pay Matrix Level-6; Rs. 35400– Rs.112400 (PB-2: Rs.9300 – 34800 + GP Rs.4200 as per 6th CPC) in the Central/State Government/Autonomous Bodies/PSU Undertaking on regular basis.

SI. No. 07

Name of Post Medical Record Officer

No. of Posts 01 (One)

Consolidated Remuneration Rs.61701/- per month

Mode of Recruitment Age Limit

Purely on Contract basis

30 years (Relaxable upto 40 years for general employee, upto 43 years for OBC employee and upto 45 years for SC/ST employee working on regular/contract basis in other Government hospital/Govt. Institute/ Autonomous Bodies of Govt of NCT of Delhi/Govt. of India).

Eligibility Criteria (a) B.A./B.Sc. (b) Diploma in Medical records from a recognized Institute.

Sl. No. 08

Name of Post Technical Assistant (ICU) (for Neurology Department)

No. of Post 01 (UR:01) [Reserved for Pwd {HH, VH(B,LV), OH (OA.OL)}]

Consolidated Remuneration : Rs.43518/- per month

Mode of Recruitment Purely on Contract basis

Age Limit Below 27 years (Relaxable upto 40 years for general employee, upto 43 years for OBC employee and upto 45 years for SC/ST employee working on regular/contract basis in other Government hospital/Govt. Institute/ Autonomous Bodies of Govt of NCT of Delhi/Govt. of India).

Eligibility Criteria: Essential Qualification:

i) Matriculation/Hr. Sec./Sr. Sec. (10 plus 2) with science from a recognized Institution/Board. ii) Operation room Asstt. Course from a recognized institution. iii) 5 years experience as O.T. Technician in Operation Theatres/CTS/Neuro-Surgery/Gastro-

surgery/CSSD/Anaesthesia/Gas Plant/Anaesthesia workshop/ICU Surgical/Resusciation in a recognized Hospital/Institution.

OR i) B.Sc. from recognized university. ii) 3 years experience as Technicians in Operation theatres including O.T./CTS/Neuro Surgery/Gastro

Surgery/CSSD/Anaesthesia/Gas Plant/Anaesthesia work shop/ICU Surgical/Resusciation in a recognized hospital/institution.

Note: 1. Operation Room Assistant course (Diploma) must be of two years from Government

recognized Institution.

2. The experience should be post qualification and therefore should not overlap with qualification. Sl.No. 09

Name of post ICU Technician (for Neurology department)

No. of post 01 (OBC : 01)

Consolidated Remuneration: Rs.43518/-per month.

Mode of Recruitment Purely on Contract basis

Age Limit: 27 years (Relaxable upto 40 years for general employee, upto 43 years for OBC employee and upto 45 years for SC/ST employee working on regular/contract basis in other Government hospital/Govt. Institute/ Autonomous Bodies of Govt of NCT of Delhi/Govt. of India).

Eligibility Criteria:

Essential Qualification: (1) Matriculation/Hr. Sec./Sr. Sec. (10 plus 2) with Science from a recognized Institution/Board. (2) Operation room Assistant Course from recognized Institution.

Experience: Five years experience as O.T. Assistant in O.T./CTS/Neuro-surgery/Gastro Surgery/CSSD/ Anaesthesia/Gas Plant/Anaesthesia workshop/ICU Surgical/Resuscitation in recognized Hospital/Institution.

Note: 1. Operation Room Assistant course (Diploma) must be of two years from Government

recognized Institution.

2. The experience should be post qualification and therefore should not overlap with qualification.

Page 4: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

SI. No. 10

Name of Post Data Entry Operator

No. of Posts 03 (Three) [Reserved for PwD {OH(OA, OL, OAL, BL), VH(LV), HH}]

Consolidated remuneration Rs.26775/- per month

Mode of Recruitment Purely on Contract basis

Age limit 27 years (Relaxable upto 40 years for general employee, upto 43 years for OBC employee and upto 45 years for SC/ST employee working on regular/contract basis in other Government hospital/Govt. Institute/ Autonomous Bodies of Govt of NCT of Delhi/Govt. of India).

Eligibility Criteria Graduate with certificate Data Entry Operator minimum of speed of 10000 keys per hour. Desirable: Knowledge Micro Computer application.

Sl. No. 11

Name of Post Medical Record Technician

No. of Post 01 (One) [Reserved for PwD OH(OA.OL.OAL. BL) HH] Consolidated remuneration Rs. 43518/- per month

Mode of Recruitment Purely on Contract basis

Age Limit: 18-28 years (Relaxable upto 40 years for general employee, upto 43 years for OBC employee and upto 45 years for SC/ST employee working on regular/contract basis in other Government hospital/Govt. Institute/ Autonomous Bodies of Govt of NCT of Delhi/Govt. of India).

Eligibility Criteria Graduate or equivalent of a recognized university And 2) 6 months training in Medical Record (MRD) from a recognized institute a training centre.

Sl. No. 12

Name of Post Medical Record Clerk-in-charge

No. of Post 01 (UR : 01)

Consolidated remuneration Rs. 38745/- per month

Mode of Recruitment Purely on Contract basis

Age Limit: 18-27 years (Relaxable upto 40 years for general employee, upto 43 years for OBC employee and upto 45 years for SC/ST employee working on regular/contract basis in other Government hospital/Govt. Institute/ Autonomous Bodies of Govt of NCT of Delhi/Govt. of India).

Eligibility Criteria Graduate or equivalent from a recognized university

Sl. No. 13

Name of Post Medical Record Clerk

No. of Post 01 (One) (UR:01) Consolidated remuneration Rs. 29159/- per month

Mode of Recruitment Purely on Contract basis

Age Limit: 18-27 years (Relaxable upto 40 years for general employee, upto 43 years for OBC employee and upto 45 years for SC/ST employee working on regular/contract basis in other Government hospital/Govt. Institute/ Autonomous Bodies of Govt of NCT of Delhi/Govt. of India).

Eligibility Criteria 10th pass or equivalent from a recognized Board or university with English is one of the subjects and also knowing typing speed of 30 words per minute (English) or 25 words per minute (Hindi)

(HH= Hearing Impaired, OH= Orthopedically Impaired, OA=One Arm, OL=One Leg, BL=Both Leg , VH= Visually Impaired, B=Blind,

LV=Low Vision, OAL=One Arm and One Leg)

Important Note for all the posts: 1. The Pay Band & Grade Pay (as per 6th CPC) or Pay Matix Level (as per 7th CPC) given under ACP/ MACP

Scheme shall not be considered as having regular service in the respective Pay- Band/ Grade Pay or Pay Matrix Level for the purpose of determining the eligibility criteria for the post mentioned at Sl. No.1 to 6.

2. The Candidates should have requisite experience in the field of Establishment, Administration, Purchase & Vigilance for the post of Assistant Administrative Officer.

3. Institute reserves the right to increase/decrease, fill or not to fill the vacancy or cancel the advertisement for the above mentioned post(s), without assigning any reason.

4. The experience should be post qualification and therefore should not overlap with qualification.

Page 5: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

Instructions to the candidates

1. Prescribed application forms complete in all respect must reach to Administrative Officer, IHBAS, Dilshad Garden, Delhi 110095 on or before the cut off date i.e. 11.06.2018.

2. Candidate applying for the posts mentioned in the advertisement may send application and enclose a Demand Draft/Pay order may be forwarded along with the applications forms for Rs. 500/- for posts at SI. No. 01 to 07 and Rs. 250/- for the post at Sl. No. 09, 12 & 13 respectively drawn in favor of Director, IHBAS, Delhi. The fee is non refundable. No fee is to be paid SC/ST/Ex-servicemen/PWD candidates. For the post at Sl. No.8, 10 & 11 no Demand Draft required as the post is reserved for PwD.

3. The cut off date for age, qualification, experience and last date of submission of filled in applications will be 11.06.2018.

4. The application form shall be summarily rejected in case it is found incomplete in any respect or is not accompanied by fee of appropriate value described above.

5. The Institute reserves the right to increase/decrease, fill or not to fill any/all the vacancies or cancel the advertisement for any of the above mentioned post(s), without assigning any reason.

6. The candidates selected against post mentioned at Sl. No. 1 to 6 will be appointed on Deputation basis in terms of DOPT’s OM No. 06.08.2009-Estt. (Pay II) dated 17.06.2010 and orders issued from time to time in this regard.

7. Applications for the posts mentioned at Sl. No. 01 to 06 may be sent through proper channel alongwith ACR/APAR for the last 5 years and Vigilance Clearance & Integrity Certificate.

8. Post applied for should be superscribed on the envelope.

9. The qualification from recognized organization of Govt. will only be considered for eligibility.

10. The cut off date for determining the eligibility and age will be as on last date of receipt of application.

11. While coming for the Skill Test for the posts mentioned at Sl. No. 07 to 13, candidates should bring all the original documents for verification.

12. No TA/DA will be allowed for appearing in Interview for the posts mentioned at Sl. No. 01 to 06 and Skill Test for the posts mentioned at Sl. No. 07 to 13.

13. Upper age limit is relaxable for SC/ST/OBC/PWD as per rules.

14. In case of SC/ST/OBC/PWD Category the applicant for the posts mentioned at Sl. No. 07 to 13 should be in possession of appropriate certificate issued by Competent Authority. However OBC certificate issued by the Authority of Delhi Govt., only will be accepted.

15. Engagement for the posts mentioned at Sl.No. 07 to 13 are purely on contract basis. All service matter including leave will be governed under contract service rules.

16. In case of large number of eligible candidates for the post mentioned at Sl. No. 07 to 13, they may have to go through Written Test (MCQ) and Skill Test in multiple stages as per the decision of Director, IHBAS.

Administrative Officer

Page 6: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES

DILSHAD GARDEN : NEW DELHI

Application Form on Deputation Basis

(Candidate should read instructions before filling up the form)

1. Post applied for ___________________________________________

2. DD No.___________ date__________ drawn on__________________

3. Name of the Applicant ________________________________________

4. Father/Husband’s Name ______________________________________

5. Category __________________________________________________

6. Address for Correspondence ___________________________________

__________________________________________________________________________

Telephone Nos (Off) ____________________________________________________

Mobile/land line ________________________________________________________

(Fax) _______________________________________________________

7. Date of Birth :________________________________________________________________

8. Present post held ____________________________________________________________

9. Date of appointment on present post on regular basis :_______________________________

10. Present basic pay & Pay Band: _________________________________________________

11. Educational Qualification ( in descending order)

S. No. Name of Examination

Name of Board/University

Year of Passing Percentage of Marks

Passport size Coloured Photograph

Page 7: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

12. Experience ( in descending order)

Name and address of the Office/ Department

Post held mention (whether on regular/deputation basis)

Period From To

Pay Band with Grade Pay

Nature of duties

13. Eligibility

Prescribed eligibility criteria Eligibility possessed by the candidate

1. Name and address of References with whom you worked last.

i. __________________________________________________________________________________________________

ii. _________________________________________________ _________________________________________________

2. Date of return from ex-cadre posts, if any_____________________

Signature of applicant

Certificate from Competent Authority

The information furnished by the candidate has been verified from the service records of the officer /official and is found correct. It is also certified that the candidate fulfills eligibility criteria prescribed for the post.

Signature_________________

Name___________________

Designation______________

Official Seal______________

Page 8: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

INSTITUTE OF HUMAN BEHAVIOUR AND ALLIED SCIENCES DILSHAD GARDEN (NEAR GTB HOSPITAL); DELHI – 110 095

(APPLICATION FORM FOR CONTRACT BASIS APPOINTMENT)

Note 1: Please type or write in block letter.

Note 2: Incomplete application form and application without prescribed fee will be rejected.

1. Name of post applied for : __________________________________________________________

2. Full Name : __________________________________________________________________________

3. Father’s/Husband Name : __________________________________________________________

4.

(a) Date of Birth __________ dd ________mm _____________yyyy Age: _____________________________

(b) Date of Advertisement ___________________________________________________________________________

5. Demand Draft No. ____________________ Dated________________________ Drawn on ________________________________ (Kindly also indicate your name & post applied for on the reverse/back of the demand draft)

6. Sex: 7. Category: Male-M Female-F SC ST OBC Others

7. Address for Communication: _____________________________________________________________________________

______________________________________________________________________________

Pin _______________________ Mobile No._____________________________________

E-mail :_____________________________________________________________________

8. Education Qualification: Sl.

Name of Examination Name of Board/University

Year of passing Percentage of Marks/Grade

Recent

Passport Size

Photograph

Page 9: INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) · 2018-04-30 · INSTITUTE OF HUMAN BEHAVIOUR & ALLIED SCIENCES (IHBAS) (An autonomous institution under the Govt. of NCT of

: 2 :

9. Experience: Sl. Name and Address

of the Office/Deptt. Post Held Period Pay Nature of

Duties

I hereby declare that the information given above is correct and true to the best of my knowledge and

belief. I undertake that if at any stage any of the information given above is found false or incorrect my

candidature/appointment may be cancelled. I further undertake that if at any stage I am found guilty of using

unfair means in the recruitment process of violating any of the rules/Regulations governing the recruitment my

candidature/appointment may be cancelled.

Signature of applicant