INDIVIDUAL DETAILS OF MEDICAL OFFICERS HAVING POST GRADUATE

DEGREE WORKING IN INDIAN SYSTEMS OF MEDICINE DEPARTMENT

Name :
Designation :
Scale of pay :
Date of entry in service :
Details of P.G.Degree :
a) Reg.No & date :
b) Year of passing :
c) Subject :
d) University :
Name and address of Period
From To
institution working

Date from which PG Allowance admissible :

Rate of PG Allowance admissible :
Declaration I,
………………………………………………………………………………………………
…………………………………………solemly affirm that the above given details are
correct and true.If any error is found,I shallrepay the excess allowance drawn to the
Government.

Place Signature
Date Name
Designation

Counter signature of DMO