m¿é¥ò

kht£l eythœÎ r¦f© (nry« kht£l«)

kU¤Jt« - k¡fŸ ešthœÎ¤Jiw

nry© kht£l¤Âš brašgL© Mu«g Rfhjhu ãiya«, ef®òw eythœÎ ika«

(U-HWC) cŸs Ñœ¡f§l gjéfS¡F x¥g¨j mo¥gilæš K‰¿Y© j‰fhèfkhf
gâòçtj‰F óª¤Â brŒa¥g£l é§z¥g¦fŸ 30-01-2023 m‹W khiy 5.00 kâ¡FŸ
tunt‰¡f¥gL»‹wd.

t.v gjéæ‹ bgaª gjéæl¦fë‹ taJ jFÂ

©. v©â¡if
1 bréèa® / 218 50 bréèa® g£la¥ go¥ò , (DGNM) mšyJ
Ïil ãiy taJ Ïs§fiy bréèa® g£l« (B.Sc Nursing)
Rfhjhu bréèa® tiu Ïs¦fiy bréèaª g£l© k‰W©
(MLHP) jäœehL bréèaª k‰W© jhÂa«
FGk¤Âš gÂÎ brŒa¥g£l xU¦»iz¨j
ghl¤Â£l«.

é©z¥g« mD¥g nt©oa Kftç :

bra‰ brayhsª, kht£l eythœÎ r¦f© k‰W©
Jiz Ïa¡Feª Rfhjhu¥ gâfŸ
Jiz Ïa¡Feª Rfhjhu¥ gâfŸ mYtyf©
giHa eh£lh©ik fHf f£ll tshf«
nry« kht£l«-636 001.

F¿¥ò :
1. é§z¥g¥ got¦fŸ njÁa eythœÎ FGk (https:/ https://salem.nic.in/ ) tiyjs¤Âš
gÂéw¡f© brŒJ bfhŸsyh©.
2. óª¤Â brŒa¥g£l é§z¥g¦fŸ k‰W© jF¨j Mtz efšfSl‹ nkny F¿¥Ã£l
kht£l eythœÎ r¦f mYtyf¤Â‰F 30.01.2023 m‹W khiy 5.00 kâ¡FŸ rkª¥Ã¡f
nt©L«.
3. nkY© égu¦fS¡F njÁa eythœÎ FGk© (https:/nhm.tn.gov.in/) tiyjs« _y«
bjç¨J bfhŸsyh© mšyJ nry© kht£l eythœÎ r¦f© mYtyf ntiy eh£fëš
neçš br‹W m¿¨J bfhŸsyh©.

bra‰ brayhsª, kht£l eythœÎ r¦f© k‰W© kht£l M£Á jiytª k‰W©
Jiz Ïa¡Feª Rfhjhu¥ gâfŸ, jiytª, kht£l eythœÎ r¦f©,
nry« kht£l« nry« kht£l«.
 Annexure X
Annexure X – A

National Health Mission – Tamil Nadu

Application for the post of Mid Level Health Provider(MLHP) to be placed at

HSC-HWCs

District Health Society _____________ District Passport size

photo

1 Applicant’s Name /

2 Father’s Name /

3 DOB (DD/MM/YY) /

4 Age /
5 Educational Qualification /

6 Current Residential address /

7 Permanent Address /

8 Aadhar Card Number /

9 Phone Number /

10 Email ID (If Available) /

Place/ :

Date/ :
Applicant’s Signature
The list of self-attested document photocopies to be attached along with the filled
application form:
1. Two recent passport size color photographs

2. Evidence of Date of Birth (Birth Certificate/SSLC / HSC Certificate)

3. Evidence of Educational qualification and marks (SSLC / HSC / Diploma / B.Sc., Degree -
Provisional or Degree certificate etc.)
4. Tamil Nadu Nurses and Midwives council registration Certificate
5. Evidence for Tamil eligibility (10th or 12th standard marks)
6. Proof of residency:
a. Nativity Certificate issued by the Revenue Department
b. Voter ID
c. Panchayat/ Municipality/Corporation/Tax receipt
d. Aadhar card
e. Ration card
7. Certificate of character and conduct issued by a Group A or Group B Officer working in
Government. The Certificate should be a recent one issued within 3 months prior to the
notification (applicable for all the applicants including fresh graduates)
8. Certificate of character and conduct issued by the Head of the Institution where the
candidate had undergone the course or currently studying.
9. In the case of a differently-abled person, a Certificate from a Block Medical Officer to the
effect that the candidate is fit enough to discharge the duties assigned along with the
percentage of Disability.
10. Certified evidence for work experience.
11. No Objection Certificate from the competent authority
(if applicable)
12. Any other special records of significance from competent authorities as indicated in the
selection criteria mentioned