0135-2726020, 2726021 doonmedicalcollege@gmail.com yAT H0 TOZOHOTTO/ fasTy/2021/54S f 01/07/2021

05-07-2021 , 06-07-2021 5 RTd qut E T7 UTT 11.00 a 02.00 aU T T fbar

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50 84,113/- ufaHTE I 50 56,100/- utTHTE |

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OFFICE OF PRINCIPAL, GOVT. DOON MEDICAL COLLEGE, PATEL NAGAR,DEHRADUN- 248001 UTTARAKHAND TEL: 0135-2726020-2726021

Email: doonmedicalcollege@gmail.com

Ref. No.: GDMC/Advt./2021/ 5GoS Dated 01-07-2021

WALK IN INTERVIEW FOR THE POST OF SENIORRESIDENT/ TUTORSA walk-in interview for Senior Resident/Tutors will be held in the office of Principal, Government Doon

Medical College, Patel Nagar, Dehradun on 05th &06th July, 2021 from 11:00 AM to 02:00 PM.

Reporting Time: 10.00 am.

Vacancies in various departments are as follows: Senior Residents:-(Anesthesia, Gen. Medicine, Gen. Surgery, Psychiatry, Radio-diagnosis, Radiotherapy) *Tutors:- (Anatomy, Community Medicine, Pathology, Physiology, Pharmacology)

(Note:- *Preference shall be given to candidates with PG Qualification in concerned subject.)

Salary: Senior Resident Rs 84,113/-pm, (Consolidated) Tutor Rs. 56,100/-pm (Consolidated)

Qualification & Age:- As per NMC norms. Reservation: As per Rules of Govt. of Uttarakhand (Candidate are requested to bring original documents along with 2 self attested copies of the sagae

Principal, Govt. Doon Medical College, Dehradun.

APPLICATION FORM GOVT. D0ON MEDICAL COLLEGE, DEHRADUN, UTTARAKHAND

Application for the post of

RECENT Name of the applicant (In BIlock Letters)........ '*'* ** **''*''''**.

COLOUREDD

PHOTOGRAPH Sex ************* *'******************

. Father's/ Husband's Name ***********

******.

4. ategory ..... ** *****

Date of Birth & Age (Please attach self-attested photocopy of Secondary School Certificate): ... ************

6. Aadhar Card No....

PAN:

8. Permanent Address-

Correspondence Address:

10. Email (In block letters): .. ******************°°*************°****************** ***************************

11. Mobile Number:12. Date of appearance in Last MCI - UG/ PG /any other Assessment

ACADEMIC QUALIFICATIONS (Please attach self-attested photocopy of MBBS/MD/MS/DM/M.Ch./M.Sc/Ph.D. degree certificate and copy of

registration certificate for MBBS and PG):

15.

Name of the StateRegistration No. of UG & PG with date

Year of Qualification College/ University Passing Medical Council

MBBS

MD/MS/DNB/Ph.D.

(Speciality.. M.Sc./ Ph.D.

(Speciality... *******)

DM/M.Ch.

(Speciality.. Contd....2.

-2 14, DETAILS OF THE PREVIOUS APPOINTMENTS TEACHING EXPERIENCE.

Total Experience in years & monthsName of Institution/

University From To Designation Department

DD/MM/YY DD/MM/YY

Tutor

Demonstrator

Junior Resident

Registrar

Senior Resident

Assistant Professor

Associate Professor

Professor

15 Details of publication (Please attach self-attested copy of publications along with proof of indexing)

a) National (Number): b) International (Number):

16. MCI Basic course training workshop (Please attach self-attested photocopy of certificate) - Yes / No

If Under obligation of Essential State Service Bond in any State of India, "No Objection Certificate'17. from present employer attached - Yes / No

Declaration by the Candidate It is declared that each statement and/or contents of this and/or documents, certificates submitted along

with the application form, by the undersigned are absolutely true, correct and authentic. In the event of any

statement made in this declaration subsequently turning out to be incorrect or false, the undersigned has

understood and accepted that such misdeclaration in respect to any content of this declaration shall also be treated

as a gross misconduct thereby rendering the undersigned liable for necessary disciplinary action.

Date Signature of Candidate

Place:

Enclosure

S.No Documents SubmittedYes No Recent Passport size photo of the Employee, Signed by Dean / Principal of

the college.

Photo ID proof issued by Govt. Authorities: Passport/ PAN Card / Voter

ID/ Aadhar Card Certified copies of presentappointment orderat present Institute.

| Copy of Passport/Voter Card /Electricity Bill /Telephone Bill/ Aadhar

Card attached as a proof of residence.

Copies of Degree certificates of MBBS and PG degree.Copies of Registration of MBBS and PG degree.

Copy of experience certificate for all teaching appointments held before

1.

Yes No

Yes/ No

Yes No

Yes/NoYes No

Yes/ No

joining present institute.

8. | Relieving order from the previous institution. Yes/ No

PAN Card YesNo

|Copy of Aadhar Card Yes/No10.

Date Signed of the candidate