Integrated Disease Surveillance Programme (SSU)Gandhinagar Application for the Post of _______________________________________ 1. Name of Candidate: _______________________________________________________________ 2. Date of Birth: ________________ 3. Age on date: (21/05/2016) ___________ 4. Male / Female: _______________ 5. Permanent Address: _______________________________________________________________ ________________________________________________________________________________ 6. Contact No. ____________________

& Email address: _________________________________

Qualification & Experience: 1. Basic Qualification _________________________ Name of University __________________ 2. Extra Qualification (as per advertisement) __________________________________________ 3. Experience ___________________________Name of Institute_________________________

Certificate Attached: 1._________________________________________________________________________________ 2._________________________________________________________________________________ 3._________________________________________________________________________________ 4. ________________________________________________________________________________ 5._________________________________________________________________________________ 6._________________________________________________________________________________

Hear by I ______________________________ declare that above information & submission ofcertificates are true and it findwrong information, will be make disqualification for job at any time and legal action can be taken in this regard.

Date:Time: Place:

Signature

Employment Notice Applications are invited for the following post at District Priority Laboratory, General Hospital, Mehsana, purely on contractual basis for 11 months. Sr. No

1

• • •

Name of the Post

Qualification and Experience

Microbiologist

1) Medical Graduate with Post Graduate Degree / Diploma (preferably in Microbiology, Virology, Pathology and other lab sciences) OR 2) Medical Graduate with 2 years’ experience in clinical laboratory sciences.

(1 Post) at District Priority Laboratory General Hospital, Mehsana

OR

Salary Rs.40,000/- per month Rs.35,000/- per month

3) M.Sc. in Medical Microbiology with one Rs.25,000/- per year experience in clinical laboratory month services Age Criteria: 45 years or below for above post. Candidate will have to bear travel expenditure for interview. Applications in a given format with detailed bio-data relevant certified certificates and photograph to be sent to State Nodal Officer, Integrated Disease Surveillance Program me, 3rd Floor, Block No. 5, Dr. Jivraj Mehta Bhavan, Gandhinagar-382010 (Gujarat) by register A.D. Post so as to reach office on or before 21/05/2016 Date : 09/05/2016 Place : Gandhinagar