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NATIONAL HEALTH MISSION

DIRECTORATE OF HEALTH AND FAMILY WELFARE


BLOCK NO. 6 SDA COMPLEX, KASUMPTI, SHIMLA-171 009
HIMACHAL PRADESH

Applications are invited for Independent

(Immunization)

Field

Volunteers {IFV}
The National Health Mission, Himachal Pradesh is inviting applications
Candidates to be engaged on daily wages basis as Independent
Districts

of the State initially

performance

and requirement

qualifications,

experience

HP,Shimla-9 on or before

for a period

Field

of one year which

of the Department.

Interested

from the interested

Volunteers

is renewable
candidates

is" March

of the Health Department

{IFV} in different

based on individual

who

and age criteria may apply to the Mission Director,

Male

meet the following

National Health Mission,

2015 on the prescribed form which can be down loaded on line site

www.hphealth.nic.in.

OR www.hphealth.gov.in

OR www.nrhmhp.gov.in

Qualification:
i) Essential:

Masters or equivalent

Management
candidate

or any other

relevant

shall be bonafied

degree in social work/Applied


qualification

resident

awarded

sociology/

by the recognized

of Himachal Pradesh and should

MBA in Health Care

University

in India. The

be aware with

the working

knowledge of English. Proficiency in computer especially knowledge of MS Office.


ii) Desirable:

Knowledge

appointment

of custom,

in the peculiar condition

Experience:

manner

Experience in the field work with Govt./NGO/

Other Essentials:

Pradesh and suitability

for

prevailing in the Pradesh.

and supervision of National Health Programmes/

International

Immunization/NID

Organizations

in monitoring

etc. will be preferred.

Should have his own convenience- two wheeler and have a valid driving license with

personal accident insurance of minimum


Age:

and dialects of Himachal

2 lac rupees.

Should be within the age group of 21-45 years.

Remuneration:

He will be paid daily honorarium

He will also be eligible for monthly

@ Rs.450/- per day for a maximum 25 days in a month.

vehicle maintenance

grant of

Rs.1000/-PM.

A mobility

support of

Rs.150/-per day will be paid for maximum of 25 days in a month. Total payment per IFV per month will
approximate

Rs.16,OOO/-.

Job Profile: Will support the Distt. Programme


strengthen

the immunization,

Officers (CH& Immunization)

child health, AFP and Measles

surveillance

at Distt. level in order to


activities

districts. He will work under technical supervision of SMO, NPSP Unit (WHO) Shimla.

in blocks of the

APPLICATION FORM FOR INDEPENDANT FIELD VOLUNTEERS


Recent passport
size self attested
photograph of
candidate

PERSONAL INFORMATION
Name (as in NRIC or passport):

_
(Please underline surname)

Father's Name:

-------------------------

Date of Birth:

Age as on 1st January 2015

I am a (tick one):
Citizen with valid Himachal domicile
Himachal domicile
o others

o Indian

Address:

------------------------------------

--~-----------------------Contact No (Mobile):

Date
To

------------_

(Matric and above)

Schoolsllnstitutions
Attended

OTHER QUALIFICATIONS
Date
From
To

Postal Code:

Email address:

ACADEMIC QUALIFICATIONS

From

Indian Citizen without valid

Affiliationl
Recognition

Qualificati
ons
Obtained

Percentage

(aggregate)/Grade

I COURSES ATTENDED I AWARDS ATTAINED

Qualifications I Awards Obtained

Awarding
Institution

EXPERIENCE/ EMPLOYMENT
Date
From

HISTORY

Firm/Institution
(in
chronological
order)

To

Position
Held

Key
Responsibilities

Reason(s)
for Leaving

Brief about your competency about computers

Brief about your experience in the Field work Social

I verify that the above information is correct to the best of my knowledge.


I understand and accept that providing false information deliberately could result in my
dismissal.

Signature:
tRJ.easea~h:ti

_
V\L

applteation fOm:))

self

Date:

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