zruKT qTrff9ITT-44kw are-ar Form 4va-thr milme, Tr&8f t" tr1 - - 4T-cnrrirrtt
m
k2 .
co .
in
....................................................................................... Tt-4.4 : 1. Ri-i-44 aff4r4-iT, 41--444-w fk-gtw 30 at alltnt fk-apr, KaTRetalIT-1091N.W.226/44T-3, t, 2000 2. qtr09•31-14-n9T, 4r-4-44-T orrenr r4vrm, wArThar-1007/458/5r.K375/07/4-i-r_3, ft4iw 21 4, 2009 3. Wl-R14 1z4v14 , 44--1=4-+ airTliz• FOR w.131-ar-1007/w.w.375M-4T-3, F4-4-i-w 10 ‘'9-, 2009 4. m-0-9- arlitt-m-, Tr-4-4MT afRini RIM, f4-4-iT 0291 W.144-2011/51-.W.77/4-4T-3(fkli.), -k--t, 2011 5. qTrirff 174-vizr , RT-4-tz i-fiw 14 t44-0--c,Af4w 2011afrTinT Nlipr, W.4-A4?-2011/51-.W.776/4-41"-3, 6. RTHR2411 T, Till-4MT affuni (1111; w.zr-4-4-20 fk9iT 11/789/418 V- , 2013 4T-3, 7. R11-444W 4--4-F4 airtinr f41-4, . 4..a?-? ? ? /L9C (1-;/? 3/4aT-3, o
ww w. n
8. W1-84 W4
, 4r4wit4 fWmir, w.R.4.af.- 0 ? Mr.w.19YR/ks UNT-3, itqfw a&r1-4-< R 0 ? aireTzr 3 ...............................................................................................
Wit-km- WTI-IT : 01/2017
1.
2.
3.
9-Feff wiftw : 4kar-R 0 ? VsM 4V? W4-sfrn-n---R, -17-4-9T, qt 1T-3 -, W7-41-, Tfly, 41-f, t MT, q1 61pn, 1.3cp rHT, 140Trz, r,571v,44-cr,T,Thr4.0Tftiw iT,3T4,7nTru,79 ER ;1-141T,-T4Tz, , 1q , dTR, 9 A-4, TM 91-d-RT th-41-ITT, WIT-cTIT, i:Rwr-49- 4i4-414-47 91717-Th ?-4TR-4 4 airp-4- f4474f:4714 4 4r ,?,tr474 4#2.4-fTrsTrPT8 lwfir4 Tit-9 mr- 1 - ---4-*4 -4- awing 4qT Ta-"af" 'Tr 31.141:rfr Tr tr.-F4N- S T 4r4 Tirrint-9-,41 4p4404rff IMPTV, keZttn 374;74 4-4-r 4E"a" 7F 44-33-10- . 7T-4-4-41-ff 4-a#zr arfirwurr 71 TR)--4,TnrcRjrft WWW.aroa.n z(7w 4-44 tR4Trat twThrashtra. ovin 'IT R4t-dT40 1-nrch r-ff -'r--P-Y--, 9-4193- J-cF9-6af n9an4r 3f14 .-inn-a31217-q,
4-A-F-T
arPraf fq-r air44-i-
Wrztyrcl-rfrff
qtrDtrr 9-F4t4 TqT 20.09.2017 44 wi4N-rffq4TirTm .cx
•?.T#4 4T4T
4 44kfutror : 394 (4144at4rm w)
lmwrAt trk 394
avrinraiftwrthia--310--dt15600-
ar.W. 41".W. 13
fftw-r.(4), 4.4.(u) 4 41:14-417 .
31
10
10
39100+N-4 w.5400/-) form. ea 52
04
1 91162_
4.4(T) 4.4(4) Turin- 4k 4i4Trer44-trt ar44 f4.4.(8r), 4:4.(4), 91-09-4/24 wc rain3ffklerrgin- Til-c 4r-47,414-q-j-trzr f471-444F.,71-44747 f4.1-.(30,
• wrrrwr, 74-thr-,4 a arta al* nth-7- w7 -uur *R4-4r4 r4-er # aT9TF, 4-47-4 err air4*R-74 Trfq. —r u74-74-€4-9- anurrrrh)?r4y* aft. ** 47-tyci-d- 33 W-TH1-9-p: 394 rrcT--7.-, ?a-T-41-9*41-pi-,T wry-5-7 WhThe- r 4-uar-4- 41-4T-u-T rRtraITTT 7 airRr zrf9TV4IT SrTs-m--zr 474-* I) 'TM-4;T 9"." 2) 7*4r *if 3) s 9-W 4) N-tcm 5) 11177 - fiV4T4TT 6) 31TQl`Mifi-cmp:9-4
in
7) kTe1 9-W 8) 'IT-4-.JR-473117}+u dui
co .
9) ';quitrsq-P-4-f 97,110) ite+-Trri TA" 11) 131-9-2A-71 -F
k2 .
12) TM-Tim-in *Nit 5 . archrfcrrat4 arr-7-wur :
ww w. n
m
*-7-a arR-7L-*44-7477r RiTpT ,T. 31-91T. W. -RThtT=u VD007. ,TTFT ant7r -314-4-**Tr€f ff . ub-w afr)4 era32r4IT hra.-r 4-rar4 3r7770 -3-4-c*-7*9-4-c whr59ura 3ratrr T4-nz4 TNTIT-4- TErgyrul 44-4arr vrfkw777-4 SrliTUM T TErrw
31111#M654 3-TRVOT qrM9-
Trm-7-{. @ 00E ,30r-t-
6.
-d9-41113t : 1 5600-39100 + i
3 fl
g ig a ft.Olur Trpar f4-4-r4 ,w.art7r. a o o Lysr.w ? / air*.
F. 5400 a w 3 r'3 (3g-r a ko-9- T. 55,000/-) WPMW-.WasT-2011 /sr.T.776/NT-3, fr9TT 14 fez, 2011 ? gar arRT '314,r9-4 z cdTTRT 3 atindfk kif9-17-41crq11-3-tR-4-Ri-dT 6 airdi 4-744-4-rfr 7101T1I- Firff& frkftlI tattq arrw*T -4 taI9I 7TrtfMfi 3rgunn-T - tzi-C-zr affgr-t-Btkw 7. 17f: RuiY, Trr-4-44
l9.? fk9tW 31 ailTri,2017 7 .Wt WRT9- azihrEriujr 714-71hrmy ra7rhatr 3 c a T7r#4- aitiTzikr x atf 'ret9-. f airft- ra-7fra*4-4-arthrrr-sf 19.@ srr?rTharZT 1-.4)41-zr
Tkirty agTql-t7 aturRa F -4-77Er* *7:17-d- anrucrw ?Tuhrpthr qr7*9- wrra 5 **Rh- Rt**7-u71* ?$79-. {-47, x4t7 .?,7R-rfr 7F-3r 2011 'TEN- 2 ) (7T) zrafl*thta -4171*-c
W-ed-r9- TiTR-
(r
s) (7p.rhyrr)
sr Tff Ruhr, ma:74ftw anc777r R43-pT, w.w.4.7-4.-7 o ? ?/v.w - Auni? Y/ -3, RatT1 9IRW> 0 ? ITOT MT; 1:41,4,7r DIP am-hucur lta-r alfdfkirrifii st?.?firw aftnErpyr */*-# aradtd- wq-r7-4d arrfurzfa R-** w77-#7:rra- 4174 -. {1*-#7r Te:-4r (74-arg-*T) (Tm-urr) Burr, 2011 TiEf171- 2 (T) (th) (4) WFWR ,TF Trp-T-gry 8. Chrfrr _____It e.? tatt7r aeitt-i(t uf7744 art` 4R-4-r;
Nir.ft.t.TT) tRriThdt: Ridtft-47 f*--arftrt-
q• 1956 (1956- 102) IT
err VMT f*-4T flu 31-1Alk-d-
itar w*Yr 1---att7r *A* ar=c 4Iurty64 .
0-q:441-7r 4TRwr79-( Rtru) ur -cgrot : *R?fm Rwrfr** aR4 -7:prititTr ftar r*PaR 4fint4a7 ftar 7*-thr f - -74r ft* RaT afk7Ifit-747 RY4-r 4-411:4-1-47prrg Rai - 4'4- PRoci fkr47*r ffar er f47727*
irk-dr Auj fla s1ir-4 f+MT RI
0 t fear TT TiTTPT TIT MR1,-1 RITrifIT WFM):1- 411Th- Tikire; arfraffifiT, 1956 ” -4T V1TIT MMT MCMT aMTDM--6 MMfig fur RiTT1MT. 71;M:ITT 11MMTT MMT1MM. 31 afi,2017 ar itiff-grnite ait(TF ftnt+1-fr 3frargtht9T (Internship) TT? affrunk c.`of a9k/ s1-41-ferw ars eTunzl--c41-KM srcfritt ‘60f 9. fans st1i-trr
ww w. n
m
k2 .
co .
in
(1956 WT 102) wr
ftsr :1) 4 -nT66T-44ftw mr44-6w.144-1010/390/sr..366/kn(-3, arrinka-nft ?-r?rr-4119 ,3t , 2010 6- arFlrzr ?teir Entn6- acorn tar :461-6nTr616- Trwr 0 -p-TaT641-t-6-m-r81PtM 111T41TrAtT ly*1-zr efrn-tit < ot fkg-v1-7 ko-zry62) 81MTirik FR`TIT MiNTET(k im‹;) -4 dipm-r4 10TPTTM WYRAT - 31MR ■ 4 sTM. 2rMir18-R kB11TM47-5Tu Tr6-N-6- -t* 976ft /1MfrMfrsrn nrro-t-pl3) 3-Tiej-A-RT-41- 4-41tr-sTrrit rrsir fit-quzim111-MTA-41T W1(1- ATTraft tirs-c 6111-6-. (VVeightage) 4) arT.TWTFr err T111-1M711(prt 31 sif 4r,2017 srifdisr R914; vit9-. 5) n14-6-6Ter R-kn TT, Tzna- arr*Tru 1=4--+-cnTTF Tzuti:9677,TsrnTrer e sffrIna- ( nnft usn srAl nicuunun-, wn-1-6-nr nirriTrn, ? airTn a o ? ,?r 1Mt-479- 4-tfkr9'4 91P.041- V'TTurcn- 31kv 31-0* IT-017W 1'41 WrITuPTW arnFrn-'rn P4641 Trraf-k4-snTriim) zn-wr arra6-T art 6) sn-6- arqtdt wn-41airth'T a s I, 3TI4Tm41 0 - 1710-4-€9- N11-a- wq-4-n-sTdi T6-q-n-r trrft 6-zrrc wca-m-dr - 7 nn- 3411-gni-If 7) *-105 urn T T4?Mbr?flpirer MTIT term t(Mnwrr f1==q-u-zumitur Trunksrn-rnroct qrfit MTIT9mTT f611+-8/m4T 8) aliftIRT 414T TiTlm-8-ffizrrTrut,4-D ftTT4- MT 11-Mt affMr 31?M14171. M,141-Ti 8T1TMAT aturwit 6707 in4W 311ki49MT9T-479 ; asa 9) inkiftt .rra-terr11-4-N-9- 47,/- -0ko-Trif fr-41sT. zr ?rrfn---rfr fksj-4ft-T ftwruft .0 1RF6T6-97 Truzf raitn-nt TrMfRiEir 10)Tifkrs- 1--atc1-sr 31-1?)--+pri6wroft ipsrr9-4t n-g6r JTasvm fir . 66n449. 6T6-1-4-ftT Wgit Thnia0 • 4-4?-rtnur : ? 0. ? 1 a <1,1 6nta-r orftft:4c4-uTr6-41? 0.R TrrAT.T4-wttn 3 #q-F (k79-91741 77415600-39100 + • -1-- 6600) Ti tMmT 0-inT&d-r ?trr airq4,1'h °. f4-17; 3n7117,67 r Tuf wcal- 41-1-R4 th 7ThifFzErft 267r?6-r R wawRr 6-7?-6-r turnTr01-9". amt. Fzutn-r ft?Trn-q-n--c
?OA' ft47, W4,7-7T -3477m4 "k finTr4 (-; at-Nt =ern:Ay tar a-rthw f*a-r 4 nitra-r4 k7-wq Two-A-a Diu az(R- airta01 - -d-dscr " 3T4 aiThT4 3TRM-. ? 0,t‘ th-Tff T 447-.41C - F4 Trwmg 4-f .-147ff 411k4 fitTh-ci-affkFT ?.`c (47T1g XLVI, ? ?9,,;((wr Rai ftzn1 ?. wer- : a-arcr-m, 311449-77-a 4114 #raia mitat-rz , rr wrat arRT TR-3/174-a- FE1- 77-TITPR 7117T 44T7• Tarawa-At =i-ra-c 47-4-41- Trrk-dt rrif dr4 --ay itaTritirT wrca-rfr a -ra1 ?.2 Vrd-mcriTe-r 41J4T Www.aro a .riat_ashtitov in 1 ?.3 sirkeq 7-41- Tri-4a- SITS sfitgrcri-
tITS4* silWk/lT a
1? .4 Turp;pra#,a-r a-gar-
th-uft vfata-er
?R.
. . arig 7T 37-47r4 , 1T4 &TT* MT-
4 ita-th-4
wz 7-41140- Rtaa: a-71- aralea
3T-4:-
4f*
in
? R.?
12.2
co .
4'ecc alb 47T-T? g1T7-7-ra1 WWW.aro gya.maharashtra.ov.in c. o2,.R ? a-Fit zrr t4aa-r T2rarr ft-417T.
RTEfur ?j--
TeT Whr-t-9' 441" 31-cff tWra, 31Tt4" fig? "The Director, Health Services, C)T7 trIT, 91-Ug ‘T9', Maharashtra State, Mumbar
k2 .
atTra-r arft TViaf tR7:74-r a a -r, *,zrr ar/W9n
iarT Waitikif TATZnia+7 rdt
ata- tro araaa- 9-ira2Trcrra-a err
m
12.3 9-znnuvrcm- a 31T-17i=f■ t-T7774-77-. 71%17749T 314 441q-14 nr.ffzr arrgrc a Well? NT allTini Y PZI TRW #-6 _ 0 o 0 7T cir(74-( arm f491'W 20.09.2017 cITTW T114'97119911T y-3-r7-117;a aTar.
ww w. n
? R.y ?,raiwr fttrwar-IT " zr(r-(17 4-Q41-zr a Birrlia #ar, UtC-3T4T thTr1-41-9" at- 3-zai aTr tcrk. kar‘itr arRm-ft carer& et i ?2.Lk T44141497- srufr atafJ: 31-**), &tit aliThitra *44114 4-41-aqT 44* 41W-4T.
7TuTP79Tc114. 4ThIrr ffiel- d17-714 c1T1-6,Tim- 31177-m4-
Gy.in
12.o wrfg-Tr• itpaT arVar4 aairaa Tyr nva.maharashtra. ov.in WWW.aro N ) , -NT ardit islacarcrk aTa
- wrt.
.• ,-TWF77. ffiTf
13.
1. ?err vmt
ITTSITT va-sfselUn'Tmunvort - 300/T. rffTrrife-Tdyucc?:wft
rte'
a
Trk
: qa-{
fk4TW :
019.E ‘.R ?
awr fkay rtral fr-q-Tir trfta in-41=4v arre-pr fon,
yam-,
44400001
airITT
Affidavit Affidavit to be furnished by person along with the application for the post of Medical Officer MMHS Group A in the pursuance of the Advertisement Number 01/2017 dated publish by Selection Board For Medical Officer Recruitment Established by Public Health Dept.published Maharashtra. Govt. of son/daughter/ wife of about rs, resident of affirm/state on oath yea as under 1. I have submitted my application of the post of
Aged do here by solemnly in pursuance of the
advertisement No.01/2017 dated.... 2.
in
I have read the provisions in the Rules and Notification of the Selection Board carefully
co .
and I hereby undertake to abide by them- I further declare that I fulfill all the conditions of eligibility regarding age limits, educational qualifications, experience if any, concession etc. prescribed for the post herein above.
k2 .
3.
I hereby declare that all the statement made in this application are true complete and correct to the best of my knowledge& belief. In the event of my information being found
m
false or incorrect or I am detected ineligible, I am liable to be dismissed form service.
4.
ww w. n
If information given in this affidavit on oath is found to be false i.e. not supported by documentary proof at the time of verification by the Selection Board, I will be liable to be Blacklisted and Debarred from all further examinations and selection processes of the Selection board, and liable for disciplinary proceeding if already in government Service-
Place : Date : Deponent
Signature of
VERIFICATION I, the above named deponent do hereby verify and declare that the contents of this Affidavit are true and correct to the best of my knowledge and belief No. part of it is false and nothing material has been concealed therein. Verified at Deponent
this
day of
20
Post Applied For :
GOVERNMENT OF MAHARASHTRA RECRUITMENT OF MEDICAL OFFICER GROUP-A
Name in Marathi Father's/ Guardian's Name
Recent passport size photograph
in
Mother's Name
k2 .
co .
Father's/ Guardian's Occupation
Gender
ww w. n
m
Date of Birth
Marital Status Age as on (31.08.2017
Mother Tongue
Mobile NO. Email-ID
Contact and Marital Information : Correspondence Address
Correspondence Address in Marathi
Permanent Address
Permanent Address in Marathi
Whether Spouse working with Govt. Department? Profession of the Spouse —
Spouse Place of Postino
Reservation : Category Caste
Casti! Certificate Sub Caste
Non-Creamy Layer Certificate Social Reservation
Annual Income
Physically Handicapped
Fees Details : Sr. No. 1.
Demand Draft No.
Amount
111. General Information :
co .
in
Registration Number
(Yes / NO) If yes attach Certificate
Date of Renewal (If any) (dd/nun/
k2 .
Possesses Adequate Knowledge to read, 14 rite and speak Marathi Lantrua e Date of Completion of Compulsory Regalia Internshi (dd/mm/yyvy Date of Registration dd/mird fly Has successfully completed MSCITY Preferred Area of Posting
m
MBBS Yearwise Marks :
ww w. n
2" year
Out of Marks
3" year 4'" year Total
Percentage Marks in MBBS
Has any other Post Graduate Degree/ Diploma in other medical subject Subject
Facu Iv
Program
Specialisati on
Board/ University
Passing Year
Total Mark
Total Out of Marks
Percentag e
Ob ai ned
L
■
Sr. No.
1.
Post iiii Held
Organisation Name
Organisation Address
.1111111111111111.17 Nature of Is the office/ Institution owned by Govt. of Maharashtra
in co . k2 . m ww w. n Sr. No
Exact dates to be given From-To
Total Period
Scale Basic Nature Reasons for leaving (Year/Month/D of Pay Pay (In of Post along with discharge as Rs.) certificate
11111 11 1111 ■
a ll
Ia
al
Total Experience :
(A) Before essential Qualification (B) After essential Qualification (C) After higher • ualification
in
Rei uired Documents : Documents
m
Caste Validity ( Yes / No )
k2 .
Caste Certificate ( Yes / No )
co .
Proof of Age ( Yes / No )
ww w. n
Non creamy layer ( Yes / No )
Qualification- A. MBBS — 1. Marks memo ( Yes / No ) 2. Degree Certificate ( Yes / No ) 3. MMC Certificate ( Yes / No ) B. PG 1. Marks memo ( Yes / No ) 2. Degree Certificate ( Yes / No ) 3. MMC Certificate ( Yes / No ) MS-CIT Certificate ( Yes / No Experience Certificate - ( Yes / No ) I
hereby declare that all the information furnished by me in this application from are rue, complete and correct to the best of my knowledge and belief. I do understand that I need to obtain and produce all the required original certificates enlisted in the form by me at the time of document verification. I understand that entries made by me in this application form are final and binding on me. I further declare that in the event any information being found false or incorrect I shall be liable for disqualification as mentioned in the notification.
Place : Date : Candidate
Signature of the Mobile No. -
GOVERNMENT OF MAHARASHTRA PUBLIC HEALTH DEPARTMENT INDEPENDENT SELECTION BOARD FOR RECRUITMENT OF MEDICAL OFFICER GROUP-A
ww w. n
m
k2 .
co .
in
(Reference: 1. Government notification, Public Health Department, No. RTR-1091/CR-226/SER-3, dated 30th October 2000 2. Government notification, Public Health Department, No.MMO-1007/458/CR-375/07/ SER-3, dated 21'' May, 2009 3. Government Resolution, Public Health Department No.MMO.1007/CR No.375/Seva-3, dated 10th June 2009 4. Government notification, Public Health Department, No. MMO-2011/CR-77/Seva-3 (NM), dated 2" November, 2011 5. Government Resolution, Public Health Department, No.MMO.2011/CR No.776/ Seva-3, dated 14'h December, 2011 6. Government notification, Public Health Department, No.MMO-2011/CR-789/ Service-3, dated 18s' July, 2013 7. Government Resolution, Public Health Department, NoMVA-2011//CR No745/11/ Seva-3, dated 3'd October.2013 8. The Government Letter, Public Health Department. No.MVA-1113./789/445/13/Seva-3, dated 27th September 2013.
Advertisement No. 01/2017
File No. MMHS-2016/C.R.95/17/SEVA-3
1. Applications are invited from eligible candidates for direct recruitment to the post of Medical Officer, Maharashtra Medical & Health Services, Group 'A'. by selection in Aurangabad, Jalna, Parbhani, Hingoli, Latur, Beed, Usmanabad, Nanded, Akola, Amravati, Buldhana, Yavatmal, Washim, Wardha, Nagpur, Bhandara, Chandrapur, Gadchiroli, Gondiya, Thane, Raigad, Palghar, Mumbai, Suburban Mumbai, Nasik, Ahmednagar, Jalgaon, Nandurbar, Dhule, Pune, Satara, Solapur, Kolhapur, Sangali, Ratnagiri, Sindhudurg. 2. Format of the Application form is available on www.arogya.tnaharashtra.qov.in
3. Candidates are requested to download the Application form from the above mentioned website and sent it by hand / by post the dully filled application form along with Original affidavit and attested copies of all specified documents/ certificates to "The Director, Directorate of Health Services, Arogya Bhavan, st. Georges Hospital, Compound Mumbai, on or before 20.09.2017 upto 05:30 p.m." 4. Total No. of posts : 394 (Three Hundred Ninety Four)
Medical 0 'Beer Group / Total No SC ST DT-A of Post 394 13 31 10
j ....am ..o.. JUVU-071t111 t
NT-B NTC 8 10
t,r KS.4UU(.—/
NT-D
SBC
OBC
OPEN
4
52
104
162
(The reservation specified for the D.T.(A), N.T.(B), N.T.(C) & N.T.(D) shall be intertransferable. If suitable candidates for the posts reserved for D.T.(A), N.T.(B), N.T.(C) & N.T.(D) are not available, the posts shall be filled by suitable candidates from any of the
other categories amongst D.T.(A), N.T.(B), N.T.(C) & N.T.(D) as per prevailing Government orders / Act).
•
The Reservation for backward class, Sportsperson and Physically challenged person will be as per prevailing order issued by the Government from time to time. The number of posts and reservation is likely to changed.
** Out of 394 posts the candidates having Post Graduate Diploma or Degree in following specialist will be given preference. However, first preference will be given to candidates
ww w. n
m
k2 .
co .
in
having Diploma or Degree in Pediatrics, Gynecology, Anesthesia:1. Pediatrics 2. Gynecology 3. Anesthesia 4. General Medicine 5. General Surgery 6. Orthopedics 7. Ophthalmology 8. P.S.M. 9. Forensic Medicine 10. Radiology 11. Psychiatry 12. Blood Transfusion 5. Reservation for Physically challenged persons :As per Govt. Notification, Public Health Department, No.Apang.2004/55/Aa-2, dated 27'h July 2004, Physically Challenged candidates with low vision and Locomotor Disability (Only one leg affected) are only eligible for this posts and candidates should submit certificate of competent authority mentioning clearly type of disability will only be considered for the post. The reservation for Physically Challenged persons is as per Government Circular, Social Justice and Special Assistance Dept. No.Apang.2007/C.R.61/Sudhar-3, dated 20'h April 2006. 6.. PAY: Rs.15600 — 39100 + Grade Pay 5400 and other admissible allowances as per prevalent rules (Total Emolument Approx. Rs. 55,000/-). •
As per Government Resolution, Public Health Department, No.MM0.2011/CR No.776/ Seva-
3, dated 14'h December, 2011 the post graduate diploma holders are entitled for three additional increments and the post graduate Degree holders entitled for six additional increments. It means the salary of the Medical Officers(Specialists) will be higher than that of Medical Officers(MBBS). 7. AGE: 7.1 As on 31st August, 2017 maximum age for open category candidate, 38 years and for reserved category 43 years. 7.2 The upper age limit may be relaxed maximum upto 5 years in case of the candidate who is already in the Government medical service as Permanent/ Adhoc/ Bonded basis.
7.3 The Upper age limit may be relaxed maximum upto 10 years in case of the candidates having exceptional or super-specialist Qualification in the faculties specified above. 8. QUALIFICATION:
Candidates must possess
8.1 FOR MEDICAL OFFICER (MBBS post): The MBBS Degree of a statutory University or any other qualification as specified in the First or Second Schedule appended to the Indian Medical Council Act, 1956 (102 of 1956); 8.2 FOR MEDICAL OFFICER (specialist posts): The Post Graduate Diploma or Degree of a Statutory University in Pediatrics or General Surgery or General Medicine or Gynecology or
in
Anesthesia or Psychiatry or Ophthalmology or Biology or Radiology or Blood Transfusion in
co .
as specified in the First or Second Schedule appended to the Indian Medical Council Act, 1956 (102 of 1956);
k2 .
8.3 The candidates should have completed their internship on or before 31•' August, 2017.
ww w. n
9. METHOD OF SELECTION :
m
8.4 Candidates holding degree in Shuddha Ayurved / GAMS degree should not respond to this advertisement.
Criteria
Total: 100 marks Weightage for MBBS Degree holders 60% (Maximum 60 marks) Not Applicable
Weightage for Post graduate Diploma / Degree holders Not Applicable
Aggregate of marks obtained in all the years in the Degree exam Aggregate of marks obtained in post 60% graduate diploma or degree exam (Maximum 60 marks) Service rendered in government as 4 marks per 6 months in Medical Officer either on adhoc basis tribal area and 3 marks per 4 marks per 6 months in tribal area and 3 marks per 6 months or on contract basis 6 months in non-tribal area. in non-tribal area. Maximum Maximum upto 20 marks upto 20 marks
Note: 1) The Health institutes in Tribal area are declared by, Government Resolution, Public Health Department, No.MM0.1010/390/CR No.366/ Seva-3, dated 19th June, 2010 and the experience as Medical Officer in these Health institutes will be considered for weightage of Marks. 2) The candidates should enclose experience certificate issued by the competent authority. The competent authority for issuing the experience certificate is Head of the Institute / Office. 3) Service will be counted on 6 month period base. No weightage will be given for the service rendered less than 6 months. 4) The cut-off date for the purpose of counting of weightage of marks will be 31'' August, 2017. 5) For evaluation of marks as per the prescribed criteria for the selection process the candidates must send self-attested copies of every year mark sheets and certificates (Caste verification Certificate ,Caste validate certificate, Medical Council of
Maharashtra registration certificate valide on date 31.08.2017, Experience Certificate, Non creamy layer certificate(if applicable)) with the application form. Otherwise the application form of the candidate will be rejected. 6) All application forms will be scrutinized by the Director, Directorate of Health Services, Arogya Bhavan Mumbai and make the merit list of eligible candidates as prescribed procedure will be preferred. 7) Only those candidate who are eligible as per merit will be called for the counselling for posting as per their preferences. 8) According to the merit list and preferences of the eligible candidates Government will
in
issue posting orders on the same day of counseling.
co .
9) After joining at the post as per the appointment orders candidates will be registered in SEVARTH.
k2 .
10) It is mandatory for newly appointed Medical Officers to stay at Headquarters. Medical
10. GENERAL :
m
Officer's salary is linked with their Bio matric attendance.
ww w. n
10.1 Selected candidates will be on probation for a period of two years. 10.2 There are prospects of promotion to the post of Maharashtra Medical & Health Services Gr-A (Rs.15600-39100 + Grade Pay 6600) provided candidate fulfills the prescribed criteria.
10.3 Selected candidates will be debarred from doing any private practice, but will be paid non practice allowance in lieu of private practice according to the rules. 10.4 Selected candidates will be required to sign bound to serve Government for a period of five years or in default to pay a penalty amount as may be prescribed by the Government time to time. 10.5 Selected candidates will have to get themselves registered with the Maharashtra Medical Council Act, 1965 (Mah.XLVI of 1965), or his/her name should be enrolled in the Indian Medical Register maintained as per the Indian Medical Council Act, 1956 (102 of 1956) before joining duty.
11. NOTE : 11.1 Candidates are required to furnish an self certification in respect of correctness and authenticity of the information mentioned in the Application Form. Information if found incorrect then concerned candidate is liable for prosecution as per prevailing rules.
5. 11.2 Specimen of affidavit is published on the www.arogya.maharashtra.gov.in 11.3 The application Form should be accompanied by the self certification, failing which it will be treated as incomplete and will be rejected.
11.4 The candidate should submit all the original certificates at the time of document verification .
12. APPLICATION FORM: 12.1 Application form is available on www.arogya.maharashtra.gov.in from 08.09.2017 12.2 Applicants are required to make the payment of fees mentioned below through Demand Draft of the Nationalized Bank. Demand Draft should be drawn in the name of "The Director, Health Services, Maharashtra State, Mumbai." OR dbNob, all (110.4 aqi , 1-151
+.1,q, tat
Demand Draft must be attached with duly filled application form and attach an self-certification and attested xerox copies of required documents as mentioned in application form. 12.3 Application form along with self-certification and necessary documents should be sent to the Director, Directorate of Health Services, a floor, Aroqya Bhava, st George hospital
co .
in
campus, P.D'melo road, Mumbai — 400001 so as to reach on or before 20.09.2017 upto 05:30 pm". 12.4 On envelop it should be written that, "Application for the post of Medical Officer,
k2 .
under Maharashtra Medical And Health Services, Gr —A"
12.5 Applications received after this due date will not be accepted under any circumstances
m
and no enquiry in that behalf will be entertained.
12.6 In case of any difficulty about availability of online forms, the candidates should contact
ww w. n
on email address - director.dhs-mhAgov.in 12.7 Candidate should note that any additional information or instructions regarding this advertisement will be available on web site - www.arogya.maharashtra.gov.in 13. FEE:
a. For Open category candidates — Rs.500/b. For Backward Class candidates — Rs.300/c. The fee should be paid through Demand Draft of nationalised bank mode only.
Place :Mumbai Date: 07.09.2017
(V. M. Bharose) Deputy Secretary & Member Secretary, Independent Selection Board of Public Health Department, 10" floor, Complex Building,GT Hospital Compound Mumbai-400001.
Affidavit Affidavit to be furnished by person along with the application for the post of Medical Officer MMHS Group A in the pursuance of the Advertisement Number 01/2017 dated published by Selection Board For Medical Officer Recruitment Established by Public Health Dept. Govt. of Maharashtra. son/daughter/ wife of about years, resident of affirm/state on oath as under:1. I have submitted my application of the post of
Aged do here by solemnly in pursuance of the
advertisement No.01/2017 dated....
in
2. I have read the provisions in the Rules and Notification of the Selection Board carefully
co .
and I hereby undertake to abide by them- I further declare that I fulfill all the conditions of eligibility regarding age limits, educational qualifications, experience if any, concession
k2 .
etc. prescribed for the post herein above.
3. I hereby declare that all the statement made in this application are true complete and
m
correct to the best of my knowledge& belief. In the event of my information being found false or incorrect or I am detected ineligible, I am liable to be dismissed form service.
ww w. n
4. If information given in this affidavit on oath is found to be false i.e. not supported by documentary proof at the time of verification by the Selection Board, I will be liable to be Blacklisted and Debarred from all further examinations and selection processes of the Selection board, and liable for disciplinary proceeding if already in government Service-
Place :
Date : Deponent
Signature of
VERIFICATION I, the above named deponent do hereby verify and declare that the contents of this Affidavit are true and correct to the best of my knowledge and belief. No. part of it is false and nothing material has been concealed therein. Verified at Deponent
this
day of
20
GOVERNMENT OF MAHARASHTRA (RECRUITMENT OF MEDICAL OFFICER GROUP-A) Post Applied For : Name
Name in Marathi Father's/ Guardian's Name
Recent passport size photograph
co .
in
Mother's Name
k2 .
Father's/ Guardian's Occupation
m
Gender
Mother Tongue
ww w. n
Date of Birth
Candidate Signature (in box) Marital Status Age as on (31.08.2017 ) Mobile NO. Email-1D
Contact and Marital Information : Correspondence Address
Correspondence Address in Marathi
Permanent Address
Permanent Address in Marathi
Whether Spouse working with Govt. Department?
Spouse Place of Posting
Profession of the Spouse
Reservation : Category Caste
Caste Certificate Sub Caste
Non-Creamy Layer Certificate
Annual Income
Social Reservation Physically Handicapped
Fees Details : Sr. No. 1.
Demand Draft No.
Amount
Bank Name
General Information :
k2 .
Registration Number
3"' year
m
ww w. n
2"" year
Date of Renewal (If any) (dd/Inm/yyyy)
(Yes / NO) If yes attach Certificate
MBBS Yearwise Marks : Year I" year
co .
in
Possesses Adequate Knowledge to read, write and speak Marathi Language Date of Completion of Compulsory Rotating Internshi 3 (dd/mm/yyyy) Date of Registration (dd/min/yyyy) Has successfully completed MSCIT? Preferred Area of Posting
Marks
Out of Marks
4'" year Total Percentage Marks in MBBS Has any other Post Graduate Degree/ Diploma in other medical subject Subject
Qualifyin1, Examination Sr . N o.
Facu By
Program
Specialisati on
Board/ University
Passing Year
1.
CI ass
Total Mark s Obtai ned
Total Out of Marks
Percentag e
Experince : Sr.
Post Held
Organisation
Organisation
Nature of
Is the office/
No.
Name
Address
Appointment
ww w. n
m
k2 .
co .
in
1.
Institution owned by Govt. of Maharashtra
Sr No 1.
Exact dates to be given (From-To)
Total Period (Year/Month/D ays)
Scale of Pay
Basic Pay (In Rs.)
Nature of Post
Reasons for leaving along with discharge certificate
in co .
k2 .
(A) Before essential Qualification (B) After essential Qualification (C) After higher Qualification
ww w. n
m
Total Experience :
Required Documents : Sr. Documents No. 1. Proof of Age ( Yes / No )
2.
Caste Certificate ( Yes / No )
3.
Caste Validity ( Yes / No )
4.
Non creamy layer ( Yes / No
5.
Qualification- A. MBBS — 1. Marks memo ( Yes / No ) 2. Degree Certificate ( Yes / No ) 3. MMC Certificate ( Yes / No ) B. PG 1. Marks memo ( Yes / No ) 2. Degree Certificate ( Yes / No ) 3. MMC Certificate ( Yes / No )
6. 7.
MS-CIT Certificate ( Yes / No ) Experience Certificate - ( Yes / No )
I hereby declare that all the information furnished by me in this application from are true, complete and correct to the best of my knowledge and belief. I do understand that I need to obtain and produce all the required original certificates enlisted in the form by me at the time of document verification. I understand that entries made by me in this
application form are final and binding on me. I further declare that in the event any information being found false or incorrect I shall be liable for disqualification as mentioned in the notification.
Place : Date : Candidate
Signature of the
ww w. n
m
k2 .
co .
in
Mobile No. -
