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Zilla Swasthya Samiti, Kalahandi

OTTICC OF THE CHIEF DISTRICT MEDICAL & PUBLIC HEALTH OFFICER, KAI.AHANDI,
BHAWANIPATNA

Notice

Applications are invited from the contractual employees currently working under NHM in
the same pdst of OSH&FW Society in other district against the vacant post mentioned below.

Sl. No Name of the Post No of Post Vacant Remarks


1 Block Accounts 01
Manaqer/ADEO
2 DEO 02 NPCB & RNTCP
3 RBSK MHT Ayush MO-14 BAMS-Male -2,
Pharmacist-09 BAMS -Female-S
BHMS-Male-3
BHMS -Female-4
Pharmacist-9
4 RBSK-DEIC 02 Physiotherapist- 1
Audiologist-cum- Speech
Therapist
5 AYUSH-MO (CHC/PHC) L7 BAMS-9,
BHMS-8
6 MHU Ayush MO -04 BHMS MO.4
ANM-10 (sT-l, SC-1,SEBC-1 & UR-1)
ANM-10
(sr-2,sc-2,uR-6)

Interested candidates may log on to www.kalahandi.nic.in for details (terms and


conditions & application form etc.). Eligible Candidates for the above post, who are interested,
may apply in the prescribed form to the office of the Chief District Medical & Public Health
Officer, Kalahandi, Bhawanipatna by 19.05.2018. Application received after the due date will not
be considered. Number of vacancies under this advertisement is provisional which may increase
or decrease depending upon the actual vacancy. Time to time notification regarding status of
selection process will be web hoisted in district web-site. The undersigned reserues the right to
cancel / reject any or all the applications without assigning any reason thereof. This office will
not be responsible for any postal delay & No personnel query will enteftained.

sd/-
CDM&PHO, Kalahandi
a period of 11 months, which can'be extended

on or before 19-05-2018 by Regd' Post,


must be suPer scribed with the name
of the post applied for.., otherwise the application will be rejected. This
office
application in any form will
will not ne neid responsible for any postal delay. Incomplet6
be rejected.
. Candidates have to submit No Objection Certificate cum Continuation
certificate
post under the society issued by competent
for last uninterrupted service in the same
authdrity with the application form, without which they will not be eligible.
. and filled in
The application form need to be downloaded at www.kalahandi.nic.in
application form along with the olor passport size photograph, self-attested
'mark-sheets
photocopies of all relevant certificat and shall be submitted by the
applicant.
. No personal query will be enteftained.
. Selection will be done as per the guideline stipulated by Mission
Directorate, NHM,
Odisha.

CDM&PHO, Kalahandi
APPLICATION FORM
rrF
Advertisemdnt No:
Photograph
Name of the Post
applied for :

01. Name,of the Candidate (in Block Letter):


02. Father's Name:
03 Date of Birth : 04. District of 05. Gender:
Domicile :
06.Catagory (SC/ ST/ SEBC/UR) :- 07. Marital Status 08. Person with
(Married I Un Disability /
married) Ex-servicemen /
Sport person

09. Present Contact Address : 10. Permanent Address :-

11. ContactTelePhone / Mobile No:


12. Email Address : (Mandatory)
13. Regd. Number (ONC) If available :

14. Language SPoken / Written :

15. Academic and professional Qualification deta ls : (High School


onward)

Name of Marks (excluding 4'" oPtional)


the Board / Duration
U niversity of Course
16. Experience Details (starting from present
/ last employment):-
a'Present Place of Posting for the post applied for (NoC cum Continuation
Certihcate to be attached)

b. Date of joining (offer letter to be attached)


c. valid contract period (renewal order to be attached)
d' No. ofiyears served in same post(. . Days........ Month........years)
DECLARATION BY THE CANDIDATE
I do hereby declare that the information furnished above are true to the
dge and bel t any stage , it is found that any
rmation is t or is suppr.ssed by me, _y
is
ointment / terminated. I also declare that
disengaged ice previously on administrative ground
such as disobedience / poor performance misbehavior criminal
etc.
f / activities

Further, I undertake that .I shall produce all original certificates


documents in support of the above information at the time of interview /
certificate verifi cation. /
Date :

Place :
Full Signature of the Applicant

Candidates fure required to attqch the foltowing d.ocuments along


with
the application form.
1' One recent passport size colour photograph duly pasted at the designed
space.
2' Self attested photocopy of Identity Proof (Voter ID card / pAN card. Driving
License / Aadhar Card /passport). /
3' Self attested copies of All Mark sheet and certifrcate in proof of the claim
made by the candidate relating to his/her educational qualihcation.
4' Self attested copy of HSC or equivalent marks sheet anb certificate (proof
of age)
5. Self attested copy of all educational certificates.
6. NOC and experience certificate.
7. Last contract renewal order.
8' Self attested copy of Caste Certificate & Residence Certifrcate issued by
the competent Authority.
9. Two self addressed envelope (size 24,, x 10,,) with postage stamp
Rs. 40/- afhxed on it.
of

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