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Medical Officer -
2 years
1 Dental 1 BDS / MDS
exp
[kqyk & 1 30000/-
(DEIC)
Psycologist (DEIC) 3 Yrs
2 1 MA Psychology foeqDr tkrh (v) &1 30000/-
Experience
Audiologist (DEIC)
3 1 Degree in Audiology 2 years exp. [kqyk&1 25000/-

Special Educator 1
ftYgk
B.ed in special Education in the
(DEIC) filed of Mental Retardation /
jQX.kky; B.ED. special Education
4 chM 2 years exp. foeqDr tkrh (v) &1 28000/-
Locomotor and Neurological
Disorder recognized by
Rehabilitation Council of India
5 Optometrist (DEIC) 1 B.Sc in Optometry 2 years exp.
brj ekxkl oxZ&1
20000/-
Dental Hygenist 2 foeqDr tkrh (v)&1
6 12 science + Dental Diploma 2 years exp. [kqyk&1 17000/-
(NOHP)
Dental Technician 1
7 12 science + Dental Diploma 2 years exp. HkVD;k tekrh (d)&1 17000/-
(DEIC)
Dialysis Technician 1 12 science + Dialysis
8 2 years exp. vuq-tkrh&1 17000/-
(IPHS) Diploma
Dental Assistant 1
9 12 science + special skills 2 years exp. vuq-tkrh&1 15800/-
(NOHP)
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& Lok{kjhr& & Lok{kjhr& & Lok{kjhr& & Lok{kjhr&


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National Health Mission, Beed
District Integrated Health & Family Welfare Society Beed
Application Form Stick here
latest
Application for the post Number & Name -------------------------------------------- photograph
Sign.Across

(All fields in the *mandatory to be filled Incomplete form submitted will be


treated as rejected)
Exact Name of Post Applied for:
Full Name of Candidate:
Father’s/Husband’s Name:
Date of Birth (DD/MM/YYYY): Blood Group: Gender:
Marital Status: Existing NHM Employee Nationality:
(Yes/No):
Religion: Applying Category: Caste Certificate Attached
Original Category: (Yes/No):
Demand Drafts Details:
Name of Bank: DD Date: / /2022 DD Number: DD Amount in Rs.
Address / Contact Details: (Name of the District and Pin code is compulsory)
Address Address
(Present): Taluka: (Permanent):
District: Taluka:
State : District:
Pin State :
code: Pin code:
Mob.No. Alternate
Email ID: Mob.No.
Alternate
Email ID:
Computer Proficiency:
Academic / Professional Educational all Summary: (Starting form 10th class)
Final Year
Degree / University / Total Marks &
From To (MM/YY) Specialization / Final Year
Diploma / Board / Obtained
(MM/YY) Subjects Percentage
Certificate Institute
Marks %
Work / Experience Summary: (Starting from Current / Most Recent)
From To Responsibilities (Min.30
Sr.No. Organization Designation
(DD/MM/YYYY) (DD/MM/YYYY) and
Max.50 Word’s)

Total Experience (in Years & Months): Relevant Experience to the post applied
(in
Years & Months)
Notice Period / Joining Time (Days):
Details of Internship / Workshops / Trainings Attended (If any):

Declaration:
I hereby declare that all statements made in the application are true, complete and correct to
the best of my knowledge and belief. I understand that in the event of any information being found
untrue / false / incorrect of I do not satisfy the eligibility criteria my candidature will be cancelled,
without assigning any reason thereof. I have read the content of the advertisement and agree to abide
by the rules, regulations and procedures for appointment to the post applied for.
Name:

Place: Signature

Date: / /2022

Disclaimer:

The applicants are required to submit the duly filled application on or before the due date

and time, failing which the application of the said applicant shall be treated as non-responsive.

National Health Mission shall not be responsible for late receipt or non-receipt of application/s for

any technical reason or whatsoever. The applications received after due date and time shall not be

considered.

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