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oFFrcE Ot _crvrr strRGEOlTKARNAL-I32OSI
Yh. N a. tJ fit4-2267 7 96, ?267j69 Emaih rths,eskntfrJhry,.uie.in ffiFrom
Civil SurgeonKarnal'
To
Mission Director, NHMpartytan Bhawan, Bays No. 55_58,Sector_2, panchku la, Haryan,
- -,
Leter No. NHM_ 1g/...&.j:..t...... Dated tUf.Af ry.subject: Regarding upload of rnform atio/ instructiono apprication formatNatiol11ill*flTii::ff. Hx;;")* i" ;;;;;;t"",,ur o,,
_tr,"
On the subject cited above.
It is requested to get uploaded theapplication format,urri uu.uncy positions under NHMNHM Haryana website. ao""iiJt*ent has been sentnewspapers today i.e ..........
information/ instructions,is District Kamal,on the
forn Rublication to ft:adingI
l. -/'1 . \rt14!',\c \tq
Civil Surgeon. Karnal
f,W,r,\oa\t1'| \\rr,
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DISTRICT HEALTH & FAMILY WELFARE SOCIETY, KARNAL
Applicationsareinvitedfrom.n.o.,#ffilecandidatestobeengagedonpurelycontract basis for the following posts in various NHM Programme under District Health ,& Familywelfare society' Karnal for the FY 2019-20, initially up to 3r't March 2020 ortill the completion ofthe project whichever is earlier' The application form complete in all respects along with requisitesigned documents should reach or be submitted in the office of civil Surgeon Karnal, Red crossBuilding,MallRoad,Karnal_13i00|,Haryanaonorpclsitively
CI'v'I'* SI liiililCN
CatNo. Name of Post
I\/6/.li^^lNro. of Posts
I r.reurLqr vrrrLsr LJr\r,uJ ulsrrlct Llvll Hospital , Karnal
-
Staff Nurse (SNC -
-
Account Assistant -Steff Nrr."o'c f rr -
L2
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14 v L vruLrrLL Lrvrr rrurprLd.\ znx/ LHL s & pHC,sJ
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ANM's (Au*ili".V
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ANM's 1auriti".y
t45
7T6
L7
28
19 u Lv I r ru v qrallL v tttdt )
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Urban Health Co
Staff Nurse tNBSU
1l0
7
ll3
t2 hrlarlinol nFfi-^- rvrrreLr Lrrr\u., LvrsLtluL LIVII nospltal, Kafnalj
-
Bio Medicat Eng
Pharmacist tD
@anKarnal)ANIItt r'4,,..:t:^--- \r------ r.' r . -----::-
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1l4
1l5
3
-[2 Male+OlFemale)t6 4utrrr L4u^ruary rrulse wuuwrr€Iyj tKbSKJ.n
nDIa I\t^- ^-^- rn: -!--l
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t7 s!rv IrqrrqSsr LUrJLtluL t,lvll fiospltau
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Audiologistr "n
-
Optometrist tD
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Frrn I\^^^+:^- ^^----
118
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20 rur Ll\rLI'J tulstnct Karnal_)L
2l j: surLrlue [ulsrrlct Llvu Hospltal, Karnal)1,
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K,,Lj \AL n.' crui:s*%r\i-r\,r* Karnd ,- %Tft,1'n\t't
Physiotherpi
StaffNurse,, INCOJ[1 District Civil Hosr sl.1!!q NrElas & r cuc rndri
seniorootspffi(Uistrict te Centre K;naD
SeniorTr"ut-ffiSenior tuOu.fDistrict TB Centre Karnal)
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Microbiologis@Psychiatric So.irt Wo.t* INMHP) (puq Kr."rD
Case Regist.y RssiGnt truvnp) (nnQ r<r.r,rt)wardAssistant[@
o For Application form & detailed information like essential qualifrication,renumeration' other criteria and instructions etc. visit district Karnalwebsite -
\qCivil SurgeonKarnal
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DISTRICT HEALTH AND FAMILY WELFARE SOCIETY, KAFINALAPPLICATION FORM
For office use
Receipt No.
Date
lm portant Instructions
. Please read instructions given in advertisement carefully before filling in each column.. Use only black/blue ball pen to fill the form.
Application for the post of1. Name of the candidate :
(ln Capital Letters)
Facility
2. Father's/Husband's Name :
(ln Capital Letters)
3. Sex: Male/Female
Affix llecentCoklred
Passport SizePhoto
4. Date of Birth :
(dd/mm/yyyy)
5. Category to which belong :
6. Telephone/Mobile No. :
7. E-mail :
8. Permanent Address :
Pin Code
9. Correspondence Address :
Pin Code
Educational/professional eualifications :
Month(s) Day(s)
ExaminationPassed
Board/University
Year ofPassing
MaximumMarks
MarksObtained
o/oQla
ofMarks
Division Subjects
l otn
10+21Vocational/Intermediate
Graduation
Post-Graduation
Any otherCourse/Diploma
etc.
Name of Institution/
11. Total Experience : year(s) Month(s)
Name of Institution/Organization
Details of Documents attached :
(Signature of the C;andidate)12. Declaration : I hereby declare that
1' All statemenl: T"9" in this application form are true, comprete and correct to thebest of my knowledge and belibi. ln the "u"nt
;i;t y information being found fatse orincorrect, or lneligibility being o"t".lJ 0"il'rJ"l,. after the interviewselection/
;iffIffiH,3"?1no'oature m1v oe canceite;r;iaction can be trr"n aglainst me
2' I have read the provisions/conditions/terms/rules in advertisement carefulty and Ihereby undertak.e to abide by them. I fulfil ail thl conditions. of eligibility regardingage limit' educational qualifiiations etc. prescribed in the advertisement and otherrelevant rules and instructions.
3. I have never been convicted by criminal court.
4. There is no court case pending against me.
Date:
Place:
(Signature of the Candidate)