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GOVERNMENT OF ODISHA WOMEN AND CHILD DEVELOPMENT DEPARTMENT a NOTICE No.pr-iwcD-oF-misc-0029-2021_ 133 44 JWCD, Date. DF | oF | 2023 Applications are invited from the retired Government Servants for re- engagement in the Department of Women and Child Development for a period of 01(one) year on contractual basis as OSD against the vacant post of ASO or till the vacancies are filled up, whichever is earlier. This engagement will be as per terms and conditions laid down in the guidelines relating to engagement of retired Government servants issued vide G.A. Department Resolution No. 23750/Gen., Dtd 27.08.2014. ae The selection will be governed by the procedure and rule laid down vide G.A. Department Resolution No. 23750/Gen., dtd 27.08.2014. a The monthly remuneration is to be fixed as per Finance Department O.M. No. 24533/F Dated: 29.09.2022. A. Interested retired Govt. Servants fulfilling the criteria as envisaged in the above said Resolution may apply in the enclosed application form to the under signed by registered post or by hand so as to reach the undersigned by 15.07.2023. (the application form may also be downloaded from official website of this Department i.e wed.odisha.gov.in) 5. The authority reserves the right to reject any or all applications without assigning any reason thereof. ) De, Addl. Secrbtary to Govt. Memo No. |3&45 /WCD, Date. 05 Jot] 9023 Copy forwarded to all Department of Govt./ Heads of Department / Chief Receptionist for information and necessary action. They are requested to display this Notice on their Notice Board for wide publicity of the notice. Addl. Secretury to Govt. MemoNo. |3$44 — /wco, Date. 05/0 tao 2B Copy forwarded to the Director, I&PR for information and necessary. He is requested to publish the above notice in two widely circulated Ogja ee Paper for its wide publicity. Addl. Secr@ary to Govt. Memo No. ]33474 — /WCD, Date. 25/07/3023 Copy forwarded to Head of State Portal Group IT Centre, Odisha Secretariat / The Addl. Secretary, 1.7. Section, Deptt. of W & CD with a request to webhost the notice in the official website of the Govt. of Odisha/ this Department Ok Addl. Secrgtary to Govt. Copy to Noti rd of this Deptt. APPLICATION FORM FOR ENGAGEMENT OF RETIRED GOVT. OFFICER / EMPLOYEE AS OSD AGAINST TL OFFICER ON CONTRACT oe 2. Faber Name isi crow ne 4. dean Qualifeaton 6. Post held at the time of retirement: 7. Pay Level under ORSP Rules, 2017 at the time of retiremes 8. Present Address: 9, Permanent Address: 10. Mobile No WhatsApp No. 11. B= mail id 12, Government Offices where he / she had worked: | SI_No | Name of the | Designation — | Duration Total Period | Department From To 13, Whether physically fit to discharge Government duties : - ( Yes / No) 14, Pending Departmental Proceedings (I any) : ( Yes /‘No) 15, Pending Vigilance / Criminal cases ( Ifany ):- (Yes / No) 16. Whether penalized for misconduct during period of last 05 years : -( Yes / No) 17. Remarkable Performance in Wvernment Services (If any): 18, Any other relevant information: Note: Copy of retirement no Book be enclosed for referenet salary slip of last pay drawn / PPO / GPO / Ist page of Pension Pass Declaration r do hereby declare ‘that the information / particulars furnished by me in this application form are true to the best of my knowledge and belief. In ease, any information is found to be incorrect, my candidature shall liable to be rejected. Place: Date: (Full Signature of the Applicant)

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