application form for ksharsutra training programme

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  • 7/27/2019 Application Form for Ksharsutra Training Programme

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  • 7/27/2019 Application Form for Ksharsutra Training Programme

    2/5C:\DOCUME~1\Ashok\LOCALS~1\Temp\BCL Technologies\easyPDF 5\@BCL@B80EABFC\@[email protected]

    DEPARTMENT OF SHALYA TANTRA

    UNIVERSITY COLLEGE OF AYURVED

    DR. S.R. RAJASTHAN AYURVED UNIVERSITY, JODHPUR

    KSHARSUTRA TRAINING PROGRAM

    Objective: - To provide concurrent knowledge of Kshar Sutra and their application in the management

    ofanorectaldisorder specially in the treatment of Fistula in ano. sinuses and haemorrahoids.

    Admission Qualification: - Ayurved Graduates/B.A.M.S.

    Training Program: - Three Months

    Seats and Procedure of selection: - There are 20 seats for registered medical practitioners, registered

    with Board of Indian Medicine of any State or Central Council of Indian Medicine. Selection of

    candidates will be done by Selection Committee on the basis of Seniority/Merit for private practitioners

    and the list provided by Director, Ayurved Department, Ajmer (Rajasthan) for government doctors.

    Fees: - Fees for this Certificate course is Rs. 21,000/- (Twenty One Thousand only)

    Session and month of starting of batch: - The batch of this course will be start from the month of

    December to February (1st

    December to 28th

    February) of every year.

    How to apply: - Application form is available on the website www.dsrrau.org and filled application

    should be send to Registrar, Dr. S.R. Rajasthan Ayurved University, Jodhpur with a D.D. 500/- in favour

    of Registrar, Dr. S.R. Rajasthan Ayurved University, Jodhpur payable at Jodhpur on or before 31st

    October 2013.

    Government Ayurved Medical Officers must send their Application through proper channel

    and No Objection Certificate must submit before joining the course. Candidate may write his/her

    expectations from this certificate course on a separate paper at the time of submission of application

    form as an enclosure.

    Evaluation: - To evaluate the candidates there will be an evaluation and after satisfactory report by

    University, candidate will be eligible for the certificate of University's Kshar Sutra Certificate course.

    Course Contains: -

    1. Theory Classes (100 hours)

    2. Practical Classes (100 hours)

    Medium: - Hindi/English

    Timings: - For Practical (9.00 AM to 1.00 PM)

    For Theory (2.00 PM to 4.00 PM)

    Group Discussion: - There will be a group discussion on the basis of studies/demonstrated topics everyfourth nightly.

    Feedback: - At the end of course every Candidate must fill and submit a feedback Proforma cum

    suggestive/complaints (if any) to the University through Convener /HOD, Shalya Tantra for better and

    better output in future program.

    1. Last date of Application 31st October 2013, 2. Course will starts from 01st December 2013

  • 7/27/2019 Application Form for Ksharsutra Training Programme

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  • 7/27/2019 Application Form for Ksharsutra Training Programme

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    Kshar Sutra Training ProgramDeptt. of Shalya Tantra

    University College of Ayurved

    Dr.S. R. Rajasthan Ayurved University,

    Jodhpur

    01st

    December 2013 to 28th

    February 2014

    1. Eligibility - B.A.M.S./ Ayurvedacharya

    2. Duration of Course - Three Months

    3. Medium - Hindi/English4. Fees - 21,000 Rs.

    5. Seats - 20 seats

    (For registered medical practitioners, registered with Board of

    Indian Medicine of any State or Central Council of Indian Medicine)

    6. Timings - For Practical (9.00 AM to 1.00 PM)

    For Theory (2.00 PM to 4.00 PM)

    7. Contact No. for detailed - 0291-5153721, 5153714

    Information 0291-5153727, 95714-25027

    Convener Registrar

    (Prof. Om Prakash Dave) (G.L. Tiwari)

  • 7/27/2019 Application Form for Ksharsutra Training Programme

    5/5C:\DOCUME~1\Ashok\LOCALS~1\Temp\BCL Technologies\easyPDF 5\@BCL@B80EABFC\@[email protected]

    Passport Size

    self-attested

    Colour Photo

    Qksu % 0291 &5153702QSDl% 0291 &5153706E-mail- [email protected]

    iz'kklfud [k.M ukxkSj jksM+] dMoM+] tks/kiqj& 342037APPLICATION FORM FOR KSHAR SUTRA TRAINING PROGRAM

    1. Name of Applicant Dr..............

    2. Father's Name Shri .... ..........

    3. Date of Birth ...............

    4. Phone No. ...............

    5. Mobile No. ...............

    6. Email ID .......

    7. Present Address ...

    ...

    8. Permanent Address ...

    ...

    9. Qualification Year of Passing Percentage

    B.A.M.S. . ..

    P.G. . ..

    10. Marks and Percentage in Shalya Tantra (in BAMS) ....

    11. Experience (if any) ...

    12. D.D. No./ Receipt No. & Date .........

    Date :

    Signature of Candidate

    (with Full Name)

    Government Medical Officers must send their application through proper channel & Submit NOC

    before joining the course

    Enclosures (Attested photo copies of)1. Secondary Exam. Certificate (Metric)

    2. Mark sheet of B.A.M.S.

    3. D.D. of Rs. 500/- Only (if downloaded by website) in favour of Registrar, Dr. S.R. Rajasthan

    Ayurved University, Jodhpur

    4. Registration Certificate of Board of Indian Medicine.

    5. Photo I.D. (for address proof)