Scribd Logo
Upload

Welcome to Scribd!

  • 29 views

    Application Form 5 5 2020

    Uploaded by

    Dr-Sanjay Singhania
    1) The document provides instructions for applicants applying for positions at Rajiv Gandhi Super Speciality Hospital. 2) It specifies that all appointments are contractual and the application form must be filled out neatly and signed on each page. Relevant documents like degree certificates and experience letters must be attached. 3) The application form requests information like the applicant's name, date of birth, educational qualifications, experience, and a declaration signed by the applicant stating that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Application Form 5 5 2020

    Uploaded by

    Dr-Sanjay Singhania
    29 views4 pages
    1) The document provides instructions for applicants applying for positions at Rajiv Gandhi Super Speciality Hospital. 2) It specifies that all appointments are contractual and the application form must be filled out neatly and signed on each page. Relevant documents like degree certificates and experience letters must be attached. 3) The application form requests information like the applicant's name, date of birth, educational qualifications, experience, and a declaration signed by the applicant stating that the information provided is true.

    Original Title

    Application-Form-5-5-2020

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) The document provides instructions for applicants applying for positions at Rajiv Gandhi Super Speciality Hospital. 2) It specifies that all appointments are contractual and the application form must be filled out neatly and signed on each page. Relevant documents like degree certificates and experience letters must be attached. 3) The application form requests information like the applicant's name, date of birth, educational qualifications, experience, and a declaration signed by the applicant stating that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    29 views4 pages

    Application Form 5 5 2020

    Uploaded by

    Dr-Sanjay Singhania
    1) The document provides instructions for applicants applying for positions at Rajiv Gandhi Super Speciality Hospital. 2) It specifies that all appointments are contractual and the application form must be filled out neatly and signed on each page. Relevant documents like degree certificates and experience letters must be attached. 3) The application form requests information like the applicant's name, date of birth, educational qualifications, experience, and a declaration signed by the applicant stating that the information provided is true.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    RAJIV GANDHI SUPER SPECIALITY HOSPITAL SOCIETY

    RAJIV GANDHI SUPER SPECIALITY HOSPITAL


    TAHIRPUR, DELHI -110093
    Tel. No. : 011-22312244, 011-65252480  Website : www.rgssh.in

    INSTRUCTIONS FOR THE APPLICANT

    1. All appointments at RGSSH are on ‘Contract Basis’,


    1. This application form MUST be neatly filled/ typed and signed by the applicant on each page of the
    application and only its pdf format shall be attached with the e-mail. The candidate shall ensure
    that all attached pdf are easily legible to be read, non legible pdf shall be duly rejected.
    2. Annexure I of application form, UNDERTAKING to be given in the main body of the email while
    applying for the post and its pdf copy to be attached along with the email.
    3. Each page of application form be signed by the candidate and in case, if not signed by the
    candidate application form shall be liable to be rejected.
    4. Application forms with overwriting/cuttings shall be duly rejected.
    5. Attach with e-mail self-attested copies of certificates, testimonials, and other relevant documents
    which support your claim for your eligibility for the applied post in pdf format only. Documents
    attached in other format like .jpg etc will not be accepted and application form will be duly rejected.
    6. In case self attested documents are not attached, application will be rejected.
    7. All columns MUST be completed in figures and/or in words. Fill up ‘Not Applicable/Not Available’
    where the information is not applicable or not available; but DO NOT leave any column blank.

    APPLICATION FORM

    Name of the applicant: __________________________Post applied for: ___________________

    1. Post applied for : ______________________________________

    2. Name (in Block Letter) : _________________________________ Passport size


    photograph of
    3. Father’s/Husband’s Name : _______________________________
    candidate duly
    4. D.O.B.: _____________________________________________ signed by himself

    5. Age in Years _____ Months _____ Days______ (As on last date of receipt of Application)

    6. Whether SC/ST/OBC : ________________________________________________________

    7. Address (Permanent) : _______________________________________________________

    8. Address for Correspondence : __________________________________________________

    9. Telephone No. : _____________________________________________________________

    10. Mobile No. : ________________________________________________________________

    11. Email address : _____________________________________________________________

    1|Page
    12. Educational Qualification (Starting from matriculation Examination onwards) :

    Degree/Exam Name of Year of Subjects Percentage/


    Board/University Passing Division

    13. Details of Experience (if any)

    Name of institute Designation From To

    2|Page
    14. Documents attached copy of (a) Degree/Diploma and all marks sheets/grade card ( ); (b) Registration,
    if applicable( ); (c) Experience ( ); (d) Information to /NOC from Previous Employer ( ); (f) Age proof
    ( )

    DECLARATION

    I hereby solemnly declare and affirm that statements made in this applications are true,
    complete, correct to the best of my knowledge and belief. I understand that in the event of any
    information/facts being found untrue/false/incorrect my candidature is liable to be
    cancelled/terminated besides taking any other action deemed fit in this regard. I will have no claim
    for absorption after termination/completion of contract period of tenure. I shall abide by the terms
    and conditions as prescribed.

    ( Signature & Name of Candidate


    Place:

    Date:

    Annexure I

    3|Page
    UNDERTAKING

    I hereby declare that:-


    1. I have visited www.rgssh.in and read the instructions, all the other details in respect of
    recruitment notice no 1/2020 carefully and have understood the same before filling up this
    application form.
    2. I agree with guidelines stipulated herein and shall abide by the rules and regulations of the
    Institute RGSSH and its Memorandum of Association (MOA), if appointed.
    3. I shall be fully responsible for authenticity of all the statements, claims, documents and
    experience certificate submitted by me with the application form.
    4. I have signed all the pages of the application form.
    5. I have attached .......................total number of pages as attachment with the email including the
    application form and annexure I, UNDERTAKING.
    6. For any discrepancy in total number of pages attached with email, I shall only be responsible
    and my application form shall be liable to be rejected by RGSSH.

    Date: Signature of the


    applicant

    TO BE GIVEN IN THE MAIN BODY OF THE EMAIL WHILE APPLYING FOR ANY POST
    AND ITS pdf COPY TO BE ATTACHED ALONG WITH EMAIL.

    4|Page

    You might also like