NMC- Faculty Declaration Form (2021-22)V.l.

Faculty Declaration Form (For AY 2021 - 22)

Name of the College:NARAYANA MEDICAL COLLEGE, NELLORE, A.P. 524003

Assessment date Remarks and Signature of Assessor

Accepted Yes / No

Assessor's name

Note: Il isthe rcsponsibility ofthe Dean to ensure that the submitted Dcclaralion fom ls ONLY ofa Faculry m.mberwhois 9Jorkint as a full-time
employee has nolappeded for assessmcnt in anyother collcgc for any disciplinc and in ,ny cspacity durint thc slated acadcmic yea!.

1. Name of Faculty:
2. Age & Date of birth: (Years) 12 /__4? / lqTq
3. Photo ID submitted: PAN Card/Aadhar Card/Voter ID/Passport copy H
-
Number: 6q Aq uqilt b2-3q
Issuing Authority:
Note:
(D Declaration forms without a valid governmcnt issued Photo ID rf,ill NOT b€
(ii) It is mandatory to produce Original certificates at the time ofvcrification. "*"n,{-!.
(iii) Only certifi catevdocumentvccrtified tI anslations in the English langu will be DEAX
l\j MYA NA MEDICAL COLLEGE
4. PresentDesignation: PALE[1.
E 52.1003
a. Appointment order: Certified copy of order at rhis institute attachea, o,O#ftfiffi ADqSH. INDIA
b. Department: O*Lanar',Jux
,,/
c. College/Institute: NARAYANA MEDICAL COLLEGE
d. City / District: W
e. Appointment: ( i) Regular/ContractuaVAd-hoc basis
(ii) Full time /Part time
(iii) With Private practice / Without Private practice
f. Date of appearance in last MCIAIMC assessment:
i. UG / PG / Any other:
ii. NameofCollege: ., Nata|a*a- Moil.c",L AilzVi Nollat-
iii. Whether appeared and accepted at the same College: 6tNo .,.
iv. Whether appeared and accepted for the same desigration: Yes l)(o
v, Whether retired from Government Medical College: Yes /\[d
vi. Ifyes, designation at the time ofretiretnentj
5. Complete Residential,Address of the employee:
a. Present:

f,hn^Q*rtAd" n o-lou . AJaLla,t-

b. Permanent: )) . A)n - t, - 9A
l{*a"8t; fn/",r- Nto.l:,'tn lL t?nnr.LIj,',
/ ,l-.
6. Copy of Proofof Residence submitted and original verified: Yes / No '.!'.

(Only copies ofPassport/Aadhar card./Voter ID/Passport/Electricity bilVlandline Phone bill will be considered)

7. Contact details:
a. Office telephone with STD code: 096 t - ,2t1q6z
b. Residence teleohone with STD code
c. Mobile Phone Number:
d. Email address: .\rt, rJe e/,^ . l{, ,w'a/ 5a ')- @gra'. l. cnu,-
8. Date ofj o ining the present institution: nlt t 202t
EAX
N AM ANA EDICAT C OLLEGE
C
Signature of the Faculty qd
HFA PFA DESH, INDIA
 NMC- Faculty Declaration Form (2021-22 )V.l.l

9. Joining report verified / attached Yes/No

10. Have you attended the 'Basic Course Workshop' for training in MET: Yes / No.
If Yes, give details (strike out whichever is not applicable):
- a. at MCI/NMC Regional MET Centre: Yes No.
b. at your college under Regional Centre observership: Yes / No
i, Name of Observer:
'. I 1. Educational Qualifications:
Registration number with of State
Degree Year Name of College & UniversitY date ofre tion -Name
Medical council

MBBS Ga-^dl^i MtdL& G 81.5 u7

AP^4.
9ot'L
A* tsr ers t4 I 1N. 0-1. 13
MD/MS ,nau,L o- t&& t"9- 915 u1
TsMc
9-o2p (_-g ho&t l*d"raba-d
L/ri 0r l-k- r )2.OL'ql
DMA4Ch

PhD

a. MD/AX-subject:
b. DM/1vICh subject:
c. PhD subject:
Note: For PG & Post PG qualifications, particulars of \egishation of Additional Qualificationcertificates
are to be furnished for them to be accepted. Strike out w-hichever section is not applicable.
12. Copies of educationa-|-qualifigaions: ,,
a. Copies of MB6S-& Pdpegree certificates verified and attached: W4No
b. Copies of MBBS &PfiDegree Registration verified and attached: Y6s lNo
13. Details of Teaching experience till date:

Designation* Department Institution From To Total

O#,^"pu+ Ortr)Lt* ntP&c"L

Juirior Resident
'r^"ruwJ Hqdevab,l 9Dt-l "2o2o 3rn
L

Senior Resident
Ofr^eFaenrl , Gqo*; MCl
viblg& 'h. ll-2o tS-6.2t 6 D-M
l,JavaVau-o- l.tc, tklla- ot -o7.'-2-l &-ctz.ZL 1A
Tutor

Asst. Professor
a9*r Gb&,
N*"yr,-, W)L=-L o.oz zz 7iu vk)
/uLll u'^-'
I uA

Assoc.
Professor

Professor

* Write NA (N ot Applicable) f0r the designations

n0t held
 NMC- Faculty Declaration Form (2021-22)V. l. I

To be filled in by personnel from Indian Defense Services ONLY:

, Designation Institution* From To Total

Graded Specialist

Classifred Specialist
Advisor
* Note: Documents in support of each posting to be furnished
for yerilication

14. Have you been considered in uG/PG, MCVNMC inspection at any other medical college in
a teaching or administrative capacity during last 3 years. Ifyes, please give details:

Designation Subject College Dates

15. Details of employmentbefore joining the present institution:

a. Name of College/Institution:
b. Designation: Date on which relieved,:2f I o$_ / 2o2y
c. Reason for being relieved: Tendered resignation / Retired / Transferred / Terminated

d. Relieving order issued by previous institution verified and attached: tNo

-tK
16.PANCairdNumber:
BCAI pA UUqt l-l
17. AadharcardNwtber: $,q 6q U1 I Ll LlL9Ll
18. I have drawn total emoluments from this college in the current financial year as under:

Month Amount Received TDS

l. April 2020

2. May2020

3. June2020

4. July2020

5. August2020

6. September2020

'l . October 2020

8. November 2020

9. December 2020

10. January 2021

I 1. February 2021

12.March202l
lc opy o card & Form l6(downloaded from TRACES) for FY 2019-20 (Assessment Yesr 2020-21)to besttachedl..

19. Numherof'Research articles in Indexed Joumals:

a, Intemational Joumals:
c. State / lnstitutional Journals: ____
20. Details of other publications:
a. Number of Books published:
b. Number of Chapters in books:
NMC- Faculty Declaration Form (2021-22)v l.l

DECLARATION

I, Dr. A' I' 1", k"*ot6 working in the capacity of -4</t - hr"[gw'
in the Department of at

Medical College and do hereby give aL undertaking

that I am employed as a full tirne teaching faculty, working from 1!l :-cp Rlil' tP ]+t ?8
P.M. daily at this Institute.
2. I have not made myself avrtilable to any other Medical college/lnstitution in any
discipline, in the capacity of a teaching faculty, administrator or advisor in the current
academic year for the purpose ,rf NMC/MCI assessments.
3. I do hereby solemnly declare that (tick the applicable clause):
:,' a. I state that I am nor doing any Private Practice or working in any other hospital
during college hours.
b. I practice at _ Nursing Home / Clinic / Hospital
in the city of _ ln State and my hours of
private practice are from _ _:_ _ AMPM to AM/PM.
4. - -:- -
I am not working in any other medicaVdental collegein or outside the State in any capacity:
Regular/Contractual/Ad-hoc or Full time/Part time/Honorary.
5. I declare that I have provided all details with regard to my work and teaching experience
. and no information has been concealed by me.
6. Ido solemnly declare that all the detailVinformation fumished by me in this declaration
form is absolutely true and correct, and all the documentVcertificates that weremade
available by me for verification or have been submitted by me along with this declaration
form are authentic. In the event of any information furnished or statement made in this
declaration subsequently tumrng out to be false/incorrect or any document/s or certificate/s
is/are found to be out of order, or it comes to- light that there has been suppression of any
I
material information, understand and accept that it shall be considered as gross
misconduct thereby rendering me liable to disciplinary and/or legal proceedings. It might
also lead to suspensior/cancellation of my Regishation with the State Medical Council
and./or removal of my name from the Indian Medical Register.

Date: Y"N/
Place:
(Signature of the Faculty)

EI\DORSEMENT
1. This endorsement is the certification that the undersigned has satisfied herself/himself
about the correctness, authenticity and veracity of the content of this declaration form in its
entirety and endorsed the above declaration as true and correct. I have personally verified
all the certificates/documents submitted by the teaching faculty with the original
certificates and documents that were submitted by her/him to the Institute and
confirmed the same with the concerned Institute and have found them to be correct
and authentic.

2. I also confirm that Dr. is not indulging in private practice

of any kind or carryi ng out any o professional or other commercial activity during
college working hours, from I ioA ANlto L : CdPM , since she/he hasjoined the Institute.
3 In the event of this declaration fuming out to be false or incorrect or any part of this
declaration subsequently tuming out to be false or incorrect or it comes to light that there
has been suppression of any material information, it is understood and accepted that the
undersigned shall also be equally responsible besides the declarant herself/himself, for the
misdeclaration or misstatement.

Date:

Placo:
Signature Institute)
Chinthar€dd\Dal€m' L COLTTGT
NELLbRE.524 OO3,AP. (INDIA) CHINTHAREDCIY PALEM.
NELLOiTE .52 4ft3.
AI{DHRA F-riinEs,{,
^tDtA.
NMC- Faculty Declamtion Form (2021-22)V.l.l

CHECI(LIST
SI Documents Su!!titted
1 Recent Passport size photo ofEmployee, Signed by Dean/Principal ofcollege Ves / t{o
2 Photo ID proof(Govt. Authority issued): Passport/PAN Card/Voter lD/Aadhar Card '6s / No

3. Certified copy ofAppointment order ofthe present lnstitute. q16I tlo

4 Proof of Residence: Passporwoter Card/Etectricify/Landline phone bilV Aadhar Card lvc(rNo
5. Joining repon at the present institute. ry"(lNo
6 Copies ofMBBS, PG, PhD degrees (as applicable). ..Yes / No
,7
Copies ofMBBS, PG, PhD degree Registration Certificates (as applicable). Ve-t I No
8 Copy ofexperience certificates ofall teaching appointments beforejoining present post. rYis / No
9 Relieving order from the previous institution/posting. ;v6 I uo
10. Copy ofPAN Card \Xes / No
. Form 164 (downloaded from TRACES) for FY 2019-20 (Assessment Year 2020-21) rfes / No

12. Letter head (in case ofteachers who are practicing) Yeq / I.Ioz

13. Copy of letter from afliliating University recognizing as UG teacher Yes/M

l4 Copy ofletter from affiliating University recognizir&as PC teacher (for PG assessment) Yes / N/
l5 Copy ofAhdhar Card .)ds / No

Signature of Faculty
l* NARA c0tIfGE
Date: n
NELLORE-524

Signed & Verified (Assessor)

U6ifBE? Date:
DaTCHINTHA FEDDVP AT EM.
NELLO !:rE 52.lnn3
ANrr1g6/1 n fiAOESh, NI]IA
NOTE
l) This Declaration Form witl not be accepted and the Faculty member will not be considered as a
Teaching Faculty in case any of the documents listed above are not enclosed/attached \
ith the
Declaration Form.
II) Tho Faculty member witl not be considered as a Teaching Faculty if the original Appointment letter
Relieving order, Experience oertificates, Govemment Photo tD,Degrees, Registration-Certificates,
pAN Ca;d, Aadirar iard, State Medicat Council ID (if issued) are not produced for verification at the
time of assessment.
:
Submissions in the
III) Faculty members must submit the revised Declaration form in this format only,
old format will be rejected and Faculty members will not be considered as Teacihing Faculty' 'i
 ilitEItrr{ GF{rrt 'UtfFt ?*t?i':
I !{ COU &S4]I DEPARTI|| EIi T 8OYT. OT INDIA
ATTHAGAT'II SAI{OEEP NUMAN
il

Farrrlbngr ri Accounl Number

t
BCNPA4495H 'l
I
, I
*ya,iie ':fl
F. I
{lr 1i] L I (t

GE

INDIL
 Account No : 9035794746 lnvoice No: SDCAPOO2387843O
Bharat Sanchar lnvoice Date | 0410612022 Billing Period
BSNL
'f* Nigam Limited 0'l 10512022 to 31 10512022
TarlffPlan: Value All CUU Voice unllmited
Tax lnvoice

SAT{DEEP KUIIAR AI'HAGAT{I

QUARTER 183
TELEPHONE NUMBER
NARAYANA MEDICAL COLLEGE
NELLORE 08612350516 AMOUNT PAYABLE DUE DATE
NELLORE
NELLORE AP
524002
{ 684.00 2'110612022
GSTIN
PAY NOW

Account Summary Parent Acc No: 9030379075

PREVIOUS BALANCE PAYTENT RECETVED AOJUST]'ET{TS CURRENT CHARGES TOTAL DUE AI{OUIT PAYABLE
.)Qooi bqo D.r 1,r4"
G) (+) (+) (=l (=)
{ 388.22 { 388.22 { 0.00 { 683.22 r 683.22 { 684.00
Ano(6t h Wd& r RUpGB Sk Hu.dt.d srd Erghry FM Oriy
Summary of Charges
I USAGE HTSTORY (6 MONTHS) I voice(Min)
Current Charges 6!r, oo? Amount
Re(,lningCha.ges -0
*,i€ \(!ZS.OO
I oaraloal

One Time Charges qpo o{or ^o6

-.\J\,- 250.00

N- :ort#llri:I'..'""'H
,ffirt*.
Trt D6tall.
De3c.iption
CGSI
SGST
T3x Rat!
9.@%
9.00%
#;
Amount
52.11
52.11
No/21 De21 Jon22 F.h22 tlt t22 ,\dzz

6 Prls. C.sh 8a.k OfllrAhoht 0,00

Dear Customer, We recommend you to pay the bill online using https://portal.bsnl.in/ or use My BSNL App on your mobile to avail
our services 24X7. My BSNL App is available on the Google Play Slore. #lJnite2Fightcorona.

S PADT'AJA

Good lhings .,.9srrl Accounr! Olfi@r (rF)

For Billing related issues

do nol lasl loreuer J 6S 0861.232rooo

Auall lhls otler [elorG Gnds

Get

I
II
.dlr6d6oBMmnr.doo.d,'
..1

BillSummary
.r..aBorn., m8 oaEci6

Dea, Customer, Soft copy of this blll h.s been malled to your lD kolluharl1981@gmall.com, lf mall lD is lncot ect, pl.ase updatc co..cct lD at
'www.celtcar..bsnl.co.ln".

- PAY]IIENT SLIP - lnvoico No sDc4P0023878430

BHARAT SANCHAR NIGAM LTD oda ot Paymant lnvoice Date 0410612022

Iilil|lttilrilrIILlil n cash I cheoue/Do I cr.oiuo"uit c"ru Account No 90357947,16

Phone No 08612350s16
ChequorDD No. Oeted Benk B6narl
Oue Date 2110612022
Pl€Es€ Chsrgo Rs.- Slgnature
Amouht Payable I 684.00

-- -
Please make crossed ol AO 8SNL, Nellore.
This is a Computer does not require any Signature.
Page 1 of 4

-- iTARAYANA EDICAL COLI.fGE

CHINTHAREDDYPALEM,
NELLORE 524003
ANDHRA PFiADf SH, INDIA
 u I

DrlnJ Sc65 S*.:.8

Al,Ur!g..ni Sendcep t
Xurnrr

t
Es6g {914 {234
&rS"S #SrSr p&$ I

b
.a-A FI
Ar:
$J I
F 6 SoIrg
aP.lJor
Aqlr,.5r s/tl CI$rt$ **rc$og, a.lrr Address SiO Artluganr
(8 .'o0n<$.t*sO- fr.r*A Atlatah. 4-80, kran0u colony
S*rc_ 6c.r.E*. *+ p# rnedrpatfy, Ghailccrf
100(}r)t Medrpalti, Rangarec[r.
Andhra Pradecfi, S00O9e

T
rD|7
rBror9{,
a
h.leC@r.oDv.r, @
rff.uld.trtpr.lt \
rt r. r?.a?.
l^-
&tt,*.ar.IIr
rI

!$6r
lNc/4.
 I :ir"r "r ' '

.ffir
WA
IL22B5 _
Y_ --t

or rreu i..'
,'" .,:, i ',

str A PHAD ESH ' ,,,,. ,.ir,'. ,

$
ry

d' F./tf;uL,I,Y OF MIODERIiI MIL

Cht:r r,; lo rcrtiftt tltilt

A SANDEEP KUMA}T
hirri l"rrnt ,tttt,.ttDtt tltr TDr[rt'i:r *t
&irrrlrtt or o{ Jtlrhrritrr
illlu
Ii:lnrlrr I r:r' oi #trgtrr
, , , i,,tt,itti, t',:' r' tit,:{'-r'"! lt fi'utrc tlttli'i{i' ti 'l {lil i t\ltitittltlirt'

,'. "r1 i-t,,'it' ,''t. t! iit' t'iltrtt" t'itq lit'tl in'

clI, 201:l

SECOND

it,,tt. tuul''. tlt t ,\rtl. t{ llil.'llnfu*, ;iii1

0708003

. li,
fA
'-\-", -r,--l
*
..- .)--
')
,_ - '/t- - r,l -i

L
TsffiiffiE?ryfji.,rr,,
a/\Jr.)HBA
;.,f .nEi- r,:i.-
.-! i, '.,,11/l
 l: AI E €
I I
t Q

o l\ I
2
I

I
I II )N
,2 Jan 1021

-t t th the
u
*l 1
B
*l

'1

H.NO,4'8O, KRAIITHI COLOryY,

T,ITDIPAILY, UI'PAI DEPOT,,

I'rlllrary Quallticatk)n : t{.a.B.S Datar l.r ar 20l-l

UITiVETSiIY: DR. NTIT UNIVEIISITY ()F HT AL'ITI SCIEIICES, VIJAYAWADA,AT] DHRA PRADESII,IIIDIA

Nanre of the Colieqe Wher o p.G Cotir!.! ls 5ti,r!led i OSIIANIA MEOICAL Cor L GE, HYDERAaAD

r,nlver<tty I XAt(,Jl NA,IAYAI/| r,A(, UNMBSI1Y OF ttrALIH SCIENCES,

waR4ll(ial.- rl I AN.j iJ/r,: i:1'!( 1,

seal

'lr-
+

^/1''
. \ r. \14^ *!.r- ..\ /_" /- \\/* {/- -l
'.\/-{/- 7F1, ."tl- .'t /-. .,-\ 1-- ".\ ', '
'; i''/r\-/\\-,l-' 5r -7 r\ -71t -75r ?r.

il"
:;ffiflFHh'r*
 KALOJI NARAYAN/\ RAO UNIVERSITY OF
HEALTH SCIENCES
Warangal, Telangana State, 506007.

t
Folio. No: OP11120063 Registration No: 1711 1001001

ft)
t/ k,(kJ1r, /tel/ ( ,CfiE

lnhi.s i.s to certifu that

Dr./Mr./Ms. lt SANDEEP KUMAR

lrut,ing passed

M,S. OR'IHOPAEDTCS

exantinatian hahl in the month of bct 2O2O

irt Poss Diuision

'.r.::f: r"

\r--.
Deputy Registrar ( ()r rr r
\D!'.-
oller of ExarniDatiotts
N-^",
Registrar
(Examinations)

WcLrangal
Date: lO/Dec/2O2O

il
':#JffiHid,ifl.'
 ruxrqrr.I::j:
I !

I
Tlil-,ANG AN A s'l'A'fl1:
Certificate of Re newal of R istratio,r 'J;*{i
(Sectlon -,15C of A.P. Medical Practltl oners (A rnl)ndmeht) Act, 2013)
,ll (Se6 Rule . 6(13) of'ttia nutee) . AUair Sta te of Telangana
SNo 11778

Nama of th6 Doctor. A SANDEEP KUMAR

Father's Name A AII AIAH
I
Registratlon Number APM']/FMRY82549

Date of registration 1B Jul 2013

Date of Birth 22 Feb 1989

Date of Renewal of Registratlon 12Jan 2021

Valld upto 11 Jan .2026

Permanent A,ddress H.NO,4..80, KRANTHT:COLONY

MEOIPi\LLY, UPPAL DEPOT
tIIS L FTqNGA REODY Andhra [rradesh 500OgB

I qqietele_{]qrdalifj!!!Lo1[s)
Qualification l, Date bf Reqlstration
M.B.B.S l8 Jut2013
ME.ORTHOPAEDICS 12 Jan 2021

This is lo certify that the reqistratlon of abo,;r; nrsntioned doctol having conrpllerl with the
requireinents of Section-15C of APMP lr.,.qlstration Act;'1g09 (as amonded Act No. 10/2013)-
Adaptation to the State of lelangana Vidq.C;.l,Ms.No,68 HM&FW(C1)t)ept. Dt:03-08-2015 anrj thr-.

rul6s nrade thereunderi has been renawod forthe perlbd lfonl 12Jan 2021 lo 11 Jan 2026

L
lffi[,.H*,
 GAYATRI VIDY,A PARISHAD MEDICAL COLLECE
(CVP INSTITLITE OF HEALTH CARE AND MEDICAL TECHNOLOCY)
6-25. \'laritli Vallcr \{arikavalasa, Nladhurarvada, Visakhapatnam-5100,1f{
Ph ()8el-2590114,25001-15, [:ar 0891 - 25901-1 I
ernail nrc'dicalcollclciriglpmc.in . dean@:pvprrrc.in website: rtwu gl'pnrc in

Ref No.GVPIHCMT 1202104625 I 1 Date:25.06.2021

EXPERIEN(E CUM RELIEVING CERTIFICATE

This is to certity that Dr. A. Sandeep Kumar, MS., worked in this institute as Senior

Resident from 17.72.2O2O to 25 06.2021 in the Department of Orthopaedics'

He has been relieved from his duties with effect from 25.06.2027, AN after accepting his

resignation lett er.

(- t.
During his tenure with this rnstitution, his conduct and character is >.-l/\)

De n
t p,l"^- qt ae,,+ Aho.
OEAI{
o q\,.itri tr.i, _, E'- -i-had
lrst[,ilo, ..ile and trlt
vrsakhapaham "''-rh,
"
- _r
vr

til
t+2'

:'*$^+#^EHff,f,ff.,
 NARAYANA
MEOICAL COLLEGE
Call :0861 - 2355511
Fax:0861 -2317962

Ref.No.NMC/A/ 3 82 I t2021 Date: 01.07 .2021

PROCEEDINGS OF T II t,l DEAN:: NARAYANA MEDICA L COI,I,EG E.

NELLOIIE
Present: Dr. V. Surya Prakasa Rao, M.D.,
Dean.

APPOINTMENT ORDER
Sub : Narayana Medical College, Nellore - Establishment - Medical Faculty-
Appointment of Dr.A. Sandeep Kumar, Senior Resident in Orthopaedics
Orders - Issued.
Ref: Application dated: 01.07.2021 *PJ;* Saneep Kumar, M.s.,

The Dean is pleased to appoint Dr. A, Sandeep Kumar, M.S.,

as Senior Resident in the department of Orthopaedics, Narayana Medical College,
Nellore.
He is requested to report to the Professor & HOD of Orthopaedics and submit
joining report to the HOD Orthopaedics for onward transmission lo the office of the Dean.

\!,

M,
Narayanay'l\iledical Collcgc
()hinlhareddypalem, Nellore-3

Terms & Conditions:

) He should give at least 2 months' notice to get relieved from this Institution
)> In case he wants to get relieved immediately he has to pay two months' salary to the
institution in lieu of two months' notice.
) He is govemed by the rules & regulations of Narayana Medical College, Nellore.
To
Dr. A. Sandeep Kumar, M.S.,
Nellore.
Copy to:
The Director NMI. Nellore
The Medical Superintendent, NMCH. Nellore
The Coordinator, NMC, Nellore
The Prof. & HOD, Dept. of Orthopaedics, NMC, Nellore
The Nodal Officer OFAMOS, NMC, Nellore
The Finance Section, NMC, Nellore
The HRD, NMCH, Nellore
The MRD, NMCH, Nellore

Address : Chinthareddypalem. Nellore - 524 003. Andhra Pradesh, lndia. )

: C l
I
r
Website : www.narayanamedicalcollege.com Emall dean@narayanamedicalcollege.com

ffi.,
 ING REPORT

Date J- -o4 -2-oz-l--

To,
/
The Dean Medical Superintendent,
Narayana Medical College & Hospital,
Chinthareddypalem,
Nellore.

Sir,

Sub: Joining Report - Submitted - Reg.

Ref

As perthe reference cited above, tor. ...4.:9.*P.Af-et) . t4rv!rt#.:.......

Joining as S e*i-e Re;oe^rr in the departme nl ol ...O. fril:. ft?. 2.cJ-.
from the forenoon / afternoon of ..... )-- o 1-2->)-,

Thanking you,

Yours faithfully,

\
-7q''

mlr.A.:!.M.e.6.t.kA:, )

-qgu|[ffi'"ny.,,l'
-
Pr-" ' '' aH, \NUrF
NELLU_1''- .\;'
-
ANOHFA

M
 NARAYANA Call :0861 - 2355511

w MEDICAL COLLEGE

Office of the Dean

Fax:0861 -2917962

Ref. No. NMCI N395 I 12022 Dale:10.02.2022

PROCEEDINGS OF THE DEAN: NARAYANA MEDICAL COLLEGE. NELLORE

Present: Dr. V, Surya Prakasa Rao, M.D.,

Dean
ORDER:

The Dean is pleased to promote Dr, A. Sandeep Kumar, M.S., presently

working as Senior Resident of Orthopaedics, Narayana Medical College & Hospital,
Nellore as Assistant Professor in the department of Orthopaedics, Narayana
Medical College & Hospital, Nellore w.e.f., 10.02.2022.

He is requested to report to the Professor & HOD of Orthopaedics and the

HOD of Orthopaedics is requested to send the compliance of joining report of
Dr. A. Sandeep Kumar, when he reported to the department.

\/
qW
Narayana tdoicat College
Chrnlharetidvpalenr, t\icii.ri d'.j

Terms & Gonditions:

) He should give at least 2 month's notice to get relieved from this lnstitution
)> ln case he wants to get relieved immediately he has to pay three months
salary to the institution in lieu of three months notice.
)> He is governed by the rules & regulations of Narayana Medical College,
Nellore.
To
Dr. A, Saneep Kumar, M.S,
Sr. Resident of OrthopaedicJ,
Narayana Medical College & Hospital,
Nellore
p 3r$-
bf
\

Copy to:
The Medical Superintendent, NMCH, Nellore
!
The Coordinator, NMC, Nellore
The Professor & HOD, Dept. of Orthopaedics, NMCH, Nellore
The Nodal Officer OFAMOS, NMC, Nellore
The Finance Section, NMCH, Nellore
The HRD, NMCH, Nellore l
\\
The MRD, NMCH, Nellore I \ \

f
Addre8s Chintharoddypalem, Nellore - 524 003, Andhra Pradesh, lndia'
Website:wwwnarayanamedicalcollegeconrlEmail:dean@narayanamedicalcollege

'ffi#fu"
 JOINING REPORT

Date:
o ,r-fu""

To,
The Dean / Medical Superintendent,
Narayana Medical College & Hospital,
Chinthareddypalem,
Nellore.

Sir,

Sub: Joining Report - Submitted - Reg.

Ref

As per the reference cited I a1 l*P b,*'r

Joining as lJB+"+ the department of ... o")LtJ..f.:..
from the forenoon / afternoon of to 22-

Thanking you,

Yours faithful ,@.n

A l,M
Oept. of
)uAAYfitA
Hcad

COTIECE D
COI]TGE
(Dr i)*r V
Cl*nhareddpalem, NARAYANA ME
llE[off-sz4 009. at. BEOD Y PALEM,
0[0rA] CH INTHA
N ELLO FE5
2,1003.
ANDHRA PRA ffi
SH, lN DIA.

L
DEAX
*8f,ffff#EBffl,iiu.s
ANOHRA,ThAOE:.,, i.r_iA.
 NARAYANA EDUCATIONAL SOCIETY

Pay SIip for the tlonttt of Aprll - 2022

( Anounts in INR )

Name DR AITIIAGANI SANDEEP K Enp No 408-01031

Department : ORTHOPAEDICS
ESl NO 111111r 111
Designation : SR. RESIDENT
PAN NO BCNPA4 4 9 5H
Gross Salary : 43.000.00

'l'ota I Nrrmrrer ot Davs ; JU Paid Nurnlcer of Days: 30

Earnings Deductions

Basic Salary 15,050.00 PF Contribut ion 0.00

House Rent Allowance 6,020 .00 Professional- Tax 200.00
Transport Allowance 1,290.00 Incone Tax 100.00
0 .00
LTA 6,450.00 ESI
Medical Allowance 2, 150.00 Sal-ary Advance 0.00

Eood Al Iowance 3,440.00 Phone 0.00

Personal Allowance 2, 150 . 00 GMC 0 .00

Education Allowance 860.00 Food Coupons 0.00

Monthly performance 5,590.00 Misc.Amount 0 .00

43,000.00 300.00
Net Pay Rs. Forty-Two Thousand Seven Hundred only 42,100.00

cenerated on : O9lOGl2O22
 NARAYANA EDUCATIONAL SOCIETY

Pay Slip for the l,tonth of May - 2022

( Anouats in INR )

Name DR AITHAGANI SANDEEP K Emp No 408-01037

Department ORTHOPAEDICS
ESI NO 1111111111
Des j-gnation ASSISTANT PROFESSOR
PAN NO BCNPA4 4 95H
Gross Salary 43,000 - 00

Total Number of Days : 31 Paid Num.lcer of Days: 31

Earnings Deductions

Basic Salary r.5,050.0o PF Contribution 0.00

House Rent Allowance 6, 020.00 Professional Tax 200.00
Transport AlIowance 1,290.00 Income Tax 100.00
0.00
LTA 6,450.0o ESI
Medical Allowance 2. 150.00 salary Advance 0 .00

Food Allowance 3,440.00 Phone 0.00

Personal AIlo$ance 2, 150 .00 GMC 0 .00

EducaLi.on Allolrance 860.00 Food Coupons 0.00

Monthly performance 5.590-00 Misc . Amount 0.00

43,000.00 300.00
Net Pay Rs. Forty-Two Thousand Scven Hundred only 42,700.00

Generated on I 0910612022