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WALK-IN INTERVIEW
RECRUITMENT OF RESIDENT DOCTORS
S.H.K.M. Government Medical College, Nalhar, Haryana
Advt. No. SHKM/Rectt./13/05 Date: 14/06/2013
Walk in interview will be held on 2nd and 4th Friday of every
month from July, 2013 onwards for
the 16 posts of Junior Residents in various clinical departments
(posts can be increased or
decreased as per requirements) on contract basis. The contract
will be for six months, further
extendable to one year.
Venue: Director Office, Shaheed Hasan Khan Mewati, Govt. Medical
College, Nalhar (Mewat).
Time: 09:00 AM onwards
Emoluments: As per PGIMS Rohtak + Mewat Allowance (Rs. 15,000/-
for MBBS candidates).
The eligibility as per MCI. Reservation as per Haryana Govt.
Policy. Seats can be increased
or decreased or withdrawn. The eligibility criteria, terms and
conditions along with application form
can be downloaded from the website www. gmcmewat.ac.in.
Selections will be on first come and
first serve basis. The candidate should submit application form
on the day of interview along with
receipt of application fee or Rs. 500/- (Rs.300/- for reserved
category) through Treasury Challan in
departmental receipt head 0210 for the applicant of Haryana and
Chandigarh; and the candidates
other than Haryana & Chandigarh in form of Indian Postal
Order in favour of Director, Shaheed
Hasan Khan Mewati, Govt. Medical College, Nalhar (Mewat) payable
at Nuh. All the interested
candidates should bring original documents with a attested xerox
copy of all the documents and two
recent passport size photographs.For enquiry kindly contact to
08199915555, 08199916666 or mail to [email protected].
Director
SHKM Govt. Medical College
Nalhar, Mewat (Haryana)
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To be submitted at the time of Interview
PERFORMA
Post ______________________________________
1. Name of Candidate (in block letter)
__________________________________
(As per Matriculation / Hr. Secondary or any equivalent exam
certificate)
2. Contact No/ Mobile No (Mandatory)
3. E-mail id (Mandatory)
4. Date of Birth: -------/--------/19-------
Age: Years..MonthsDays(As on last date of submission of
application)
5. Category (Gen/Res):
6. Graduation details:
Name of the
Examination
(M.B.B.S./ B.D.S.)
Month &
Year of
Passing /
Completion
Duration
in days/
months/
years
No. of
extra
attempts
Marks
Obtained
Maximum
Marks
Name of
Institution/
University
A) First Prof.
Second Prof.
Final Prof.
Part-I/ Pre-final
Part-II
B) Internship
Completion
Aggregate Marks of all Profs.
Aggregate % of Marks of all Profs.
7. Particulars of House Job / Experience:-
+91
S.NO Name of medical college/
Hospital
Specialty Date of
Joining
Date of
Relieving
Duration
1
2
3
4
5
Paste your
passport size
recent
photograph
duly attested
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8. ACADEMIC ACHIEVEMENTS:
Best graduate (1st in aggregate in all profs. Exams combined)
YES/NO 2nd Best graduate (1st in aggregate in all profs. Exams
combined) YES/NO 1st position in any subject in University exams
(During Graduation) YES/NO 2nd position in any subject in
University exams (During Graduation) YES/NO
9. EXTRACURRICULAR ACTIVITIES:
A) Sports And Cultural Activities (colors/ athletic meet/
cultural meet)
S.No. Name of Sport/ Cultural
Event
Level wether International/
National/Interuniversity/University
(inter-college)
Position First/ Runner up
1
2
3
B) Blood Donation: (at Medical College/Govt./Red Cross Blood
Banks only)
DECLARATION:-
I .......................................................
s/o/d/o/w/o
.......................................................... R/o
...............................
...................................................... hereby
declare that information given below is correct to the best of
my
knowledge & belief :
1. That all the degrees/diploma/Other educational
qualification/experience constituting essentialqualification, as
per the advertisement, submitted by me in support of this
application are recognized by
Medical/Dental Council of India or such body as is competent to
recognize such a degrees/diploma/Other
educational qualification/experience in India.
2. That I possess the requisite experience, as per the
advertisement for the post that I have applied for froman
institution recognized by the competent body in India.
3. That if at any stage, this declaration is found to be false
than the interview and all subsequent actions to itmay be
considered void ab-initio besides any such administrative or legal
action by competent authority
deemed for, including recovery of financial loss sustained due
to the false declaration.
Place:-
Date:-... SIGNATURE
