/vt. No.

Te le/ I M 5/202 2 _2 3/ 1 1

o 2 o 1 20 2 3
Regio *"., Il Itff;}
na r
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Form is availablc to iqw;ioill.'c'lrn.t;.tur.
'l'clernedicinc
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acldrcs-sirrg runaul oniccr,
Bllll' varanasi givi,u Rcgionor R..,rr'.." c'cnlrc rl:ri.r"rr'ii"gion)
,r.',riir
cctlificatcs arr<l otltcr nit""''y'i'pioni,,g
'i'ri
."rIri,";,;';;rr;"il l.crcmedicine, IMS,
sizc. rrr,r,o*,rr.,i,.'lrh,,rn.opi.,
.lucr.rc*s to,. inJpnrr, ,.r iirrirr or. rnar.k srrccrs.
appointmertr r'rill bc o,, ",;,r,
prr.i1".Ll,r:r.,'urri, : iily, J,.oo,. o.advcfliscrrcnr.
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ciatc o1'cxatn/skill tcsi/i'ltc'uic'v ",
whicrr rnal
Schcre rrowcver
hc

scrccning ol'applicatiotr *'ill trci ,otiliecJ throLr!h clnair to

lbrrns' No |AIDA will be paid shortlistccr canc,iciatcs
for attenaing alicr
exam/ski, test/interview.
Details of post is given
as under;

No. Esscntial eualification

of and i)xpcrience Salary
Post (I'}er Month
Consolitlated
0l ( inrtirratc
irr I I (.S I{s.)
l.irpcrience: lVlinilnurrr .10.000.00
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&
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ll - ,rer,;cd"dre ;rh -- .----_

prnrlii.r,r compulcr knor.r lctlge.

or onit-'.r''---

General Instructions for

the candidates:
I Candidate will be paid consolidated arnr

' I,,i ii.Tlil,i:l,ii,'#-",

3. Rulc for leavcs bv,hc,,eac, o,
gor tor.rn.riJut.'td
ar fui;flltil#.;J1t$ii,l;li,x,*:,asked
holidavs r'rill trc applicablc
rt il;;.,;;,tl ur'Burr,lr, ,.l1,,.r.-,"'u,riversir_r
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ri;J;';i;:;grr:: Varanasi.
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4 lror thc'r posts or"retcmJdiclr"'i..r.ni.;rr., Varanasi fbr post no. r.3,rJrJ.
p;:;;;:l';,.Rcgionar R;;;;;.ccnter
(r:astern Rcgronr.
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srrail bc conrirrcd ro rrrc.jurisdift,,Ti#rr,,rr,

llpage
. No. tele/t MS/2022-23/ 1 1
Dote:02.01.2023
8' fhe decision of Banaras t{iridu Urliversity
or Mol I&Fw on any crispute arising
9' candidate has to bring their originar
do.r,r"nts rbr
at a later stage shalr be flnar.
verificatio,.
;;:fi;;'o'ovicrccr on a no,-j,diciarv sranp paper o1.Rs
]: il::...','r:l,.::;;u*;
II' [pi:fi1:,k1?l]:'i:,|:;,:i
l'he [Jnivcrsity'rcscrvcs
thc right t" t"'ll,,l:T aclvcrriscd
l2' I, caseolany inadvcrterrt misiakc in the processir1 or'serectio,posr(s)trt anv.rirrc *irhour givingan),rcasor.
which
'rry b...i.tc.ic,r
rJrrivcrsity ."r.'.r., rlre rigtit
at any stagc cven aficr
,o ,,,oaityz*ithdrawTcancct
:::",iil;Jj,Hf:,ffi:,.j;X,";,.,n. any

Date: 2",1 January, 2023

Nodal olflcer
Regional Resource Centre (Eastern
region)
T'ele-medicine.
IMS, BHU. Varanasi
NODALOFFICER
Reoional Resource Centre
(Eastim Region) Tetemedicine
'
lMS, BHU, Varanasi-221 005

2lPage
 BANARAS HINDU UNIVERSITY
Rcgionarr *csou.ce tORft fBq f TOrtrqlqTql
acnter (F)aste.,, ,rn,rl'-l
ae u=rcArr o!rc8u€[kl "i"J,",rici.c, IMS
-tld)
Post Applied for
3rt,ili(r r.t( .hl. ;lq
Tele/ tMS/ 2022-23/
11
1. (tn Btock Letters)
Il:."
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OAt ,f;
1.rd
2. Present Designation
clilrlT.i ri( A f'flx r.eccnt
l'assporl sizt:
plrorogr.aph with
3. Date of Birth
\Jl;rl fi)F)
.

4. Gender (Male/Fernale) s ign atu re

5. Father,s Name/Husband,s
1;ar1 (,1oy t ,lsoi
l,)rtt, rI[] q.t .tiri Name

Mother,s Name
IILII .hT ;iFf

Marital Status
)qrfi+; ttqft
8. Nationality
tr()uor
lndicate, if
l,rrr c.il, qll-SC/ST/OBC/pH
slo ,rr[i]/3lJoin.iqrfi]/s.rl fqrjifi tlfil,z
10. Address for CorresDondrrnna /r,i+L n.
flrflffu fd;5ai.r t rr
ii? a;c161q ch-r
Iia (with Prncode)
ch-T g(Tj ,{r,t*I.d:X:,
u.=r (f,).,ro|s irQi .

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STD Code)
dl,iq,i.r
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No. (with STD Code)

lflgltrone
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Mobite No.
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13. Whether you are

conversant with Computer (Specify),
crqr giitcr,) orc{c{ .fi ,jti.tcbr{l 1t (ldotu i)
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tlxarninaiion prr*A Iloa.UT-lny.r;t

,rtletr trr.flrl Ycar of Percentage oI-
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passing marks obtained
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cclrivale nt
(s"1:g!Qve,/ sro t-+)ugl
(iraduation

Post-Graduation

()tl)cr l:sscntial
eualilication
Dctails
I
r\n1, otlrer. educational -1
q ualification
(.lr--q t)sTft)m qtq-ari) I

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15. Appointments hetd or.Experience,
i.)qllnor if any.
qcr 3jtrs, axrir) ,

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J ,a qciInstitutiondrr ;rlrr l]1,:
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any (ptease use separate sheet):
etldR,tt (a;n, .iatlq (+vutif 3]clrt
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Date
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Signature of the
Appticant
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