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    U T Form

    Uploaded by

    Ravindra Sain
    This document appears to be a job application form for the position of Medical Officer on urgent temporary basis in Rajasthan, Jaipur. The form requests information such as name, date of birth, age, father/husband's name, address, educational qualifications including medical degree and internship details, registration with the Rajasthan Medical Council, previous work experience, and a declaration signed by the applicant confirming that the information provided is true. The applicant is asked to attach attested photocopies of documents like proof of date of birth, marksheets of MBBS, caste certificate if applicable, marriage registration certificate, registration with the Medical Council etc. along with the application form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    U T Form

    Uploaded by

    Ravindra Sain
    59 views5 pages
    This document appears to be a job application form for the position of Medical Officer on urgent temporary basis in Rajasthan, Jaipur. The form requests information such as name, date of birth, age, father/husband's name, address, educational qualifications including medical degree and internship details, registration with the Rajasthan Medical Council, previous work experience, and a declaration signed by the applicant confirming that the information provided is true. The applicant is asked to attach attested photocopies of documents like proof of date of birth, marksheets of MBBS, caste certificate if applicable, marriage registration certificate, registration with the Medical Council etc. along with the application form.

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    This document appears to be a job application form for the position of Medical Officer on urgent temporary basis in Rajasthan, Jaipur. The form requests information such as name, date of birth, age, father/husband's name, address, educational qualifications including medical degree and internship details, registration with the Rajasthan Medical Council, previous work experience, and a declaration signed by the applicant confirming that the information provided is true. The applicant is asked to attach attested photocopies of documents like proof of date of birth, marksheets of MBBS, caste certificate if applicable, marriage registration certificate, registration with the Medical Council etc. along with the application form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    59 views5 pages

    U T Form

    Uploaded by

    Ravindra Sain
    This document appears to be a job application form for the position of Medical Officer on urgent temporary basis in Rajasthan, Jaipur. The form requests information such as name, date of birth, age, father/husband's name, address, educational qualifications including medical degree and internship details, registration with the Rajasthan Medical Council, previous work experience, and a declaration signed by the applicant confirming that the information provided is true. The applicant is asked to attach attested photocopies of documents like proof of date of birth, marksheets of MBBS, caste certificate if applicable, marriage registration certificate, registration with the Medical Council etc. along with the application form.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 5

    funs’kky; fpfdRlk ,oa LokLF; lsok,sa jktLFkku] t;iqj

    Urgent Temporary Basis ij fpfdRlk vf/kdkjh ds in ij fu;qfDr gsrq vkonsu&i=

    ;fn vki vuqlwfpr tkfr vuqlwfpr vU; fiNMk fo’ks"k fu%’kDr


    jkTkLFkku tutkfr oxZ fiNMk oxZ
    ds vuqlwfpr iq:"k efgyk iq:"k efgyk iq:"k efgyk iq:"k efgyk iq:"k efgyk oxZ
    tkfr@tutkfr@
    v-fi-tk-
    @fo’ks"k
    fiNMk oxZ
    ds lnL; gSa
    rks d`i;k tkfr
    dk mYys[k
    lkeus okys
    lacaf/kr
    dkWye esa
    djsaA

    1- ¼d½ uke fgUnh esa ¼cMs+ v{kjksa esa½ MkW-@Jhefr@dqekjh


    --------------------------------------------------------
    uohure QksVks
    ¼[k½ uke vaxzsth esa ¼CykWd ysVj esasa½ Dr./Mrs./Miss.
    -----------------------------------------------------
    2- tUe fnukad ------------------------------------------------------ ¼uRFkh la[;k½
    -----------------------------------------------------
    ¼gkbZ [email protected]@gk-lS- ds izek.k&i= ds vuqlkj½

    3- foKkiu ds vuqlkj fu/kkZfjr fnukad dks vk;q % o"kZ ------------------------ ekg


    -------------------- fnu ---------------
    4- firk@ifr dk uke
    ------------------------------------------------------------------------------------------------------
    --------------------------------------------------------------
    5- ¼d½ orZeku Mkd dk iwjk irk %&
    ------------------------------------------------------------------------------------------------------
    -------------------------
    ¼tgk¡ vki i= O;ogkj pkgrs gSa½
    ------------------------------------------------------------------------------------------------------
    -------------------------
    ¼[k½ LFkkbZ fuokl dk irk %&
    ------------------------------------------------------------------------------------------------------
    -------------------------
    ----------------------------------------------------------------------------------------------------------
    ---------------------
    6- 'kqYd dk fooj.k ¼vH;Fkh Lo;a Hkjsa½
    dk;kZy; iz;ksx gsrq 'kqYd :-
    ----------------------
    Mkd ?kj@cSad dk iksLVy fnukad jkf’k izkIr gqvk rFkk
    uke vkWMZj@cSa :i;s iSls fnukad
    d Mªk¶V la- -----------------------
    ---- dks tek fd;k
    x;kA

    uksV %& iksLVy vkWMZj dks js[kkafdr djuk] ml ij viuk uke@irk o funs’kd ¼tu Lok-½]
    fpfdRlk ,oa LokLF; lsok;sa jktLFkku t;iqj fy[kuk u Hkwysa rFkk dkWmUVj Qkby vius ikl gh
    j[ksaA

    7- 'kS{kf.kd ;ksX;rk,sa %&


    ijh{kk tks ladk; dk Js.kh izkIrka o"kZ ,sfPNd ijh{kk iz;Ruk cksMZ@ layXu
    mÙkh.kZ dh uke vFkok dksa fo"k; dkslZ sa dh fo’ofo|ky; izek.k
    gSaA Faculty th- dk dh la[;k dk uke i=ksa
    ih-,- izfr’kr vof/k dh
    uRFkh
    la-
    1 2 3 4 5 6 7 8 9 10
    eSfVªd@gkbZ
    Ldwy@
    lSd.Mjh
    ¼tUe frfFk
    gsrq½
    f’k{kk esa
    Lukrd MBBS
    esa
    iw.kkZad@izk
    Irkad
    izFke o"kZ
    f}rh; o"kZ
    r`rh; o"kZ
    vfUre o"kZ
    vU; dksbZ
    mikf/k@
    fMIyksek@ih-
    th-

    8- baVuZf'ki iw.kZ djus dk fnukad ------------------------------------ ¼izek.k i= dh


    Nk;kizfr izekf.kr layXu djsa½
    9- jktLFkku esfMdy dkSafly esa LFkkbZ iathdj.k la[;k ---------------------------- ¼izek.k
    i= dh Nk;k izfr layXu djsa½
    10- ;fn vkius igys dgha dk;Z fd;k gSa ;k dgha dk;Zjr gSa rks mldk izkjEHk ls vc rd
    dk fooj.k uhps nhft,A ¼;fn LFkku de jgsa rks vyx ls fooj.k layXu djsa½ %
    in dk uke fu;qfDr in xzg.k in vLFkkbZ osrueku layXu
    vf/kdkjh dk in] dk NksM+ @ ,oa orZeku izek.k i=
    uke ,oa fnukad us dk LFkkbZ ewy osru uRFkh
    foHkkx fnukad la[;k

    11- ftl in ds fy, vki vkosnu dj jgsa gSa] ml in ds fy, D;k vki igys dHkh mEehnokj jgsa gSa\ ;fn
    gk¡ rks mldk iw.kZ fooj.k fy[ksaA

    foHkkx lfgr inuke o"kZ laoh{kk ijh{kk@lk{kkRdkj dk


    ifj.kke

    eSa ,rn~}kjk ?kks"k.k djrk g¡w fd fd esjh tkudkjh vkSj fo’okl ds vuqlkj mijksDr
    lHkh izfof"V;k¡ lPph] iw.kZ vkSj lgh gSA

    fnukad % -------------------------- vkosnd ds


    iw.kZ gLrk{kj

    12- ;fn dksbZ vU; fo’ks"k ;ksX;rk@vuqHko izkIr gks vkSj bl in ds p;u esa lgk;d gks
    rks mldk iw.kZ fooj.k nsaA
    ------------------------------------------------------------------------------------------------------
    ----------------------------------------------------------------------------------------------------
    13- D;k vkidks nf.Mr] inP;qr ;k CySd fyLV fd;k x;k gSa\ ;fn ,slk gSa rks og /kkjk
    ftlds vUrxZr nf.Mr fd;k x;k vkSj tks n.M fn;k x;k mls of.kZr djsaA
    ------------------------------------------------------------------------------------------------------
    ----------------------------------------------------------------------------------------------------

    vkosnd }kjk gLrk{kjd;qDr ?kks"k.kk


    eSa] Hkkjr dk ukxfjd g¡w rFkk esjk fuokl LFkku
    --------------------------------------------- jkT; esa gSaA eSa ,rn~}kjk ?kks"k.k djrk@djrh
    g¡w fd tgk¡ rd esjh tkudkjh vkSj fo’okl gSa] bl vkosnu i= dh lHkh izfof"V;k¡ lR;] iw.kZ
    ,oa lgh gSA esjs }kjk izLrqr mijksDr lwpuk ;fn xyr ;k >wBh ikbZ tkos ;k p;u ls iwoZ
    vFkok ckn esa esjh vik=rk dk irk py tk, rks funs’kky; esjs fo:) fu;ekuqlkj dk;Zokgh dj
    ldrk gSA

    LFkku % --------------------------------------
    fnukad % --------------------------------------
    vkosnd ds iw.kZ gLrk{kj
    uke %
    -----------------------------------------------------
    irk %
    --------------------------------------------
    ---------
    --------------------------------
    -------------------

    izkFkZuk i= ds lkFk fuEufyf[kr izek.k i=ksa dh lR;kfir Nk;kizfr;ka layXu djsaA


    gk¡@ugh esa vafdr djsaA

    1- tUe frfFk izek.k i= ¼lSd.Mjh dk izek.k i=½A


    gk¡@ugha
    2- MBBS dh lHkh o"kkZsa dh vadrkfydk,saA
    gk¡@ugha
    3- 28 ebZ 2010 dks vH;kFkhZ dh U;wure vk;q 22 o"kZ ,oa vf/kdre vk;q 45
    o"kZ ls vf/kd ugha gksuh pkfg,A vuqlwfpr tkfr ,oa vuqlwfpr tutkfr ,oa efgyk
    vH;kfFkZ;ksa dks vk;q lhek esa fu;ekuqlkj NwV ns; gksxhA
    gk¡@ugha
    4- tkfr izek.k i=@fiNMk oxZ@fo’ks"k fiNMk oxZ ds vH;kfFkZ;ksa dk izek.k
    i= 06 ekg ls vf/kd iqjkuk ugha gksuk pkfg,A
    gk¡@ugha
    5- fookg dk iath;u izek.k i= ¼;fn fookfgr gks rks½A
    gk¡@ugha
    6- dqy thfor larkuksa dk 'kiFk i= ¼tUe frfFk lfgr½A
    gk¡@ugha
    7- jktLFkku esfMdy dkSafly esa iathdj.k izek.k i=A
    gk¡@ugha
    8- MBBS fMxzh dh izekf.kr izfrA
    gk¡@ugha
    9- ;fn fdlh laLFkk dh vadrkfydk esa vad vafdr u gksdj xzsM vafdr gSa rks
    izfr’kr fudkyus gsrq laLFkk dk izek.k i=A
    gk¡@ugha
    ¼vuqHko dk izek.k i= ¼;fn gks rks½
    uksV %& 1- vH;FkhZ }kjk leLr vfHkys[kks dh izekf.kr izfr yxk;k tkuk vfuok;Z gSa]
    ftlds vHkko esa vH;fFkZrk
    jn~n dj nh tkosxhA
    2- ljdkjh lsok es dk;Zjr deZpkfj;ksa dks vius foHkkxk/;{k ls vukifÙk izek.k&i=
    izkIr dj Hkstuk
    vko’;d gSa] blds vHkko esa vkosnd dks lk{kkRdkj dh vuqefr ugha nh tkosxh vkSj
    mldh
    vH;fFkZrk jn~n dj nh tkosxhA

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