ALL INDIA INSTITUTE OF MEDICAL SCIENCES

ANSARI NAGAR, NEW DELHI-110 029

ADVERTISEMENT NO. 01/2015-(FC)-Contract

WALK-IN INTERVIEW

All India Institute of Medical Sciences, New Delhi will conduct walk-in interview for the

following faculty posts on CONTRACTUAL BASIS for a period of one year or till such time the

alternate arrangement s are made, whichever is earlier, on Thursday, the 26th November, 2015 at 10.00

A.M.

Sl. No.

Name of the post

UR SC ST OBC Total

01 Assistant Professor of Biotechnology

01 -- -- -- 01

02 Assistant Professor of Emergency Medicine (Main Department)

01 -- 01 -- 02

03 Assistant Professor of Gastroenterology 01 -- -- 01 02

04 Assistant Professor of Geriatric Medicine

01 -- -- -- 01

05 Assistant Professor of G.I. Surgery & Liver Transplantation

01 -- -- -- 01

06 Assistant Professor of Medicine 01 -- -- 01 02

07 Assistant Professor of Microbiology -- 01 -- -- 01

08 Assistant Professor of Neurology 01 -- -- 01 02

09 Assistant Professor of Neuro-Radiology 01 -- -- 01 02

10 Assistant Professor of Nephrology 01 -- -- -- 01

11 Assistant Professor of Plastic Surgery 01 -- 01 -- 02

12 Assistant Professor of Rheumatology 01 -- 01 -- 02

13 Assistant Professor of Surgery -- -- -- 01 01

14 Assistant Professor of Surgical Oncology -- 01 -- -- 01

16 Lecturer in English & Communication Skills 01 -- -- -- 01

Salary:- 1. Assistant Professor : Rs. 1,00,000/-

per month

2. Lecturer in English & : Rs. 45,000/-

Communication Skills

Venue of the interview: Committee Room adjacent to the office of the Director, AIIMS.

Candidates fulfilling all the eligibility criteria may report for walk-in-interview along with

their original certificates/testimonials etc. by 9.00 AM on 26.11.2015 at the above designated

venue for verification. The candidates, who report after 9.30 AM will not be considered.

DIRECTOR

TERMS AND CONDITIONS FOR CONTRACT APPOINTMENT FOR FACULTY POSTS

1. The appointment is purely on CONTRACT BASIS for a period of one year or till such time the

regular appointments against these vacant posts are made, whichever is earlier, with effect from the

date of joining. If the contract is not extended further, the same will lapse automatically. The

appointment can also be terminated at any time, on either side, by giving one month’s notice or by

paying one month’s salary, without assigning any reason or failure to complete the period of three

months to the satisfaction of competent authority.

2. The consolidated remuneration for the post of Assistant Professor/Lecturer in English &

Communication Skills will be Rs. 1,00,000/-/ Rs. 45,000/- per month (consolidated) respectively.

3. The appointee shall perform the duties as assigned to him/her. The competent authority reserves the

right to assign any duty as and when required. No extra/additional allowances will be admissible in

case of such assignment.

4. The appointee shall not be entitled to any benefit like Provident Fund, Pension, Gratuity, Medical

Attendance Treatment, Seniority, Promotion etc. or any other benefits available to the Government

Servants, appointed on regular basis.

5. The appointee shall not be granted any claim or right for regular appointment to any post of AIIMS.

6. The appointee shall be on the whole time appointment of the AIIMS and shall not accept any other

assignment, paid or otherwise and shall not engage himself/herself in a private practice of any kind

during the period of contract.

7. The appointment to the said post will be subject to medical fitness from the competent medical

board for which he/she will be sent to the designated Medical Authority.

8. Leave entitlement of the appointee shall be governed in terms of instructions contained in

DoPT&T’s O.M. No.12016/3/84-Estt.(L) dated the 12th

April, 1985 as amended by OM No.

12016/1/96-Estt(L) dated the 5th

July, 1990.

9. On appointment, the appointee will be required to take an oath of allegiance to the Constitution of

India or make a solemn affirmation to that effect in the prescribed proforma.

10. The appointee is not entitled to any T.A. for attending the interview and joining the appointment.

11. Other conditions of service will be governed by relevant rules and orders issued from time to time.

12. If any declaration given or information furnished by him/her proves false or if he/she is found to

have willfully suppressed any material, information, he/she will be liable for removal from service

and also such other action as the Government may deem necessary.

13. The appointee shall not be entitled to avail any allowances/facilities being extended to the

regular/permanent faculty members of the AIIMS.

14. Interested candidates may apply for the post under reference in the prescribed application form

available in the Institute website appending therewith copies of self-attested

certificates/testimonials and other relevant documents etc. and to bring at the time of walk-in-

interview.

15. The AIIMS, New Delhi reserves the rights to increase or decrease the number of vacancies.

ESSENTIAL QUALIFICATIONS & EXPERIENCE FOR THE ADVERTISED POSTS OF

ASSISTANT PROFESSOR (CONTRACTUAL).

Sl.

No

.

Name of the post Essential Qualification & Experience for the post

01 Assistant Professor of Biotechnology For Medical Candidates:

i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) A postgraduate qualification, i.e. M.D. or a

recognized qualification equivalent thereto in

the discipline/subject.

For Non-Medical Candidates

i) A postgraduate qualification i.e. Master’s

Degree in Life Science or Immunology or

Biochemistry or Microbiology or Genetics.

ii) A Doctorate Degree from a recognized

University

EXPERIENCE

For medical candidates

Three years teaching and/or research experience in

a recognized Institution in the subject of specialty

after obtaining the qualifying degree of MD or a

qualification recognized equivalent thereto.

For non-medical candidates

Three years teaching and/or research experience in

a recognized Institution in the subject of specialty

after obtaining the qualifying degree of Ph.D or a

qualification recognized equivalent thereto.

02 Assistant Professor of Emergency

Medicine

i) A medical qualification included in Schedule

I & II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) A postgraduate qualification, i.e. M.D. in

Emergency Medicine or MD Medicine or MS

General Surgery or a recognized qualification

equivalent thereto.

iii) Three years teaching and/or research

experience in a recognized Institution in the

subject of specialty after obtaining the

qualifying degree of MD in aforesaid

specialties or a qualification recognized

equivalent thereto. However, candidates

having experience of working in

casualty/emergency departments will be

preferred.

03 Assistant Professor of

Gastroenterology

i) A medical qualification included in Schedule

I & II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) D.M. in Gastroenterology (2 years or 3 years

or 5 years or 06 years recognized course after

MBBS) or a qualification recognized

equivalent thereto.

(iii) One year teaching and/or research experience

in a recognized Institution in the subject of

specialty after obtaining the Degree of D.M. in

Gastroenterology (2 years or 5 years

recognized course after MBBS) or a

qualification recognized equivalent thereto.

However, no experience is necessary for the

candidates possessing 03 years or 06 years

recognized Degree of D.M. in

Gastroenterology or qualifications recognized

equivalent thereto.

04 Assistant Professor of Geriatric

Medicine

i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) A postgraduate qualification, i.e. M.D in

Geriatric Medicine or a recognized

qualification equivalent thereto.

iii) Three years teaching and/or research

experience in a recognized institution in the

subject of specialty after obtaining the

qualifying degree of MD in Geriatric

Medicine or a qualification recognized

equivalent thereto.

05 Assistant Professor GI Surgery &

Liver Transplantation

i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) M.Ch. in GI Surgery (2 years or 3 years or 5

years or 6 years recognized course after

MBBS) or a qualification recognized

equivalent thereto.

iii) One year teaching and/or research experience

in a recognized Institution in the subject of

specialty after obtaining the Degree of M.Ch.

in GI Surgery (2 years or 5 years recognized

course after MBBS) or a qualification

recognized equivalent thereto. However, no

experience is necessary for the candidates

possessing 03 years or 06 years recognized

Degree of M.Ch. in GI Surgery or

qualifications recognized equivalent thereto.

06 Assistant Professor of Medicine i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) A postgraduate qualification, i.e. M.D. in

Medicine or a recognized qualification

equivalent thereto.

iii) Three years teaching and/or research

experience in a recognized Institution in the

subject of specialty after obtaining the

qualifying degree of MD in Medicine or a

qualification recognized equivalent thereto.

07 Assistant Professor of Microbiology i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) A postgraduate qualification e.g. M.D. in

Microbiology or a recognized qualification

equivalent thereto in the discipline/subject.

iii) Three years teaching and/or research

experience in a recognized Institution in the

subject of specialty after obtaining the

qualifying degree of MD in Microbiology or a

qualification recognized equivalent thereto.

08 Assistant Professor of Neurology i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) D.M. in Neurology (2 years or 3 years or 5

years or 6 years recognized course after

MBBS) or a qualification recognized

equivalent thereto.

iii) One year teaching and/or research experience

in a recognized Institution in the subject of

specialty after obtaining the Degree of D.M.

in Neurology (2 years or 5 years recognized

course after MBBS) or a qualification

recognized equivalent thereto. However, no

experience is necessary for the candidates

possessing 03 years or 06 years recognized

Degree of D.M. in Neurology.

09 Assistant Professor of Neuro-

Radiology

i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) D.M. in Neuro-radiology (2 years or 3 years or

5 years or 6 years recognized course after

MBBS) or a qualification recognized

equivalent thereto.

iii) One year teaching and/or research experience

in a recognized Institution in the subject of

specialty after obtaining the Degree of D.M.

in Neuro-radiology (2 years or 5 years

recognized course after MBBS) or a

qualification recognized equivalent thereto.

However, no experience is necessary for the

candidates possessing 03 years or 06 years

recognized Degree of D.M. in Neuro-

radiology.

10 Assistant Professor of Nephrology i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) D.M. in Nephrology (2 years or 3 years or 5

years or 6 years recognized course) or a

qualification recognized equivalent thereto.

iii) One year teaching and/or research experience

in a recognized Institution in the subject of

specialty after obtaining the Degree of D.M.

in Nephrology (2 years or 5 years recognized

course) or a qualification recognized

equivalent thereto. However, no experience

is necessary for the candidates possessing 03

years or 06 years recognized Degree of D.M.

in Nephrology.

11 Assistant Professor of Plastic Surgery i) A Medical qualification in Schedule I & II of

the third Schedule of the Indian Medical

Council Act of 1956 (candidates possessing

the qualification included in Part II of the

third Schedule should also fulfill the

conditions specified in Section (13)3 of the

Act).

ii) M.Ch. in Plastic Surgery (2 years or 3 years

or 5 years or 6 years recognized course) or

recognized qualification equivalent thereto. iii) One year teaching and/or research experience

in a recognized Institution in the subject of

specialty after obtaining the Degree of M.Ch.

in Plastic Surgery (2 years or 5 years

recognized course after (MBBS) or a

qualification recognized equivalent thereto.

However, no experience is necessary for the

candidates possessing 03 years or 6 years

recognized degree of M.Ch. in Plastic Surgery.

12 Assistant Professor of Rheumatology i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) D.M. in Rheumatology/DM in Clinical

Immunology (2 years or 3 years or 5 years or

6 years recognized course) or a qualification

recognized equivalent thereto.

iii) One year teaching and/or research experience

in a recognized Institution in the subject of

specialty after obtaining the Degree of D.M.

in Rheumatology/Clinical Immunology (2

years or 5 years recognized course) or a

qualification recognized equivalent thereto.

However, no experience is necessary for the

candidates possessing 03 years or 06 years

recognized Degree of D.M. in Rheumatology/

Clinical Immunology.

13 Assistant Professor of Surgery i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) A postgraduate qualification, i.e. M.S. in

Surgery or a recognized qualification

equivalent thereto.

(iii) Three years teaching and/or research

experience in a recognized Institution in the

subject of specialty after obtaining the

qualifying degree of MS in Surgery or a

qualification recognized equivalent thereto.

14 Assistant Professor of Surgical

Oncology

i) A medical qualification included in Schedule I

& II or part II of the third Schedule of the

Indian Medical Council Act of 1956

(candidates possessing the qualifications

included in Part-II of the third Scheduled

should also fulfill the conditions specified in

Section 13(3) of the Act).

ii) A postgraduate qualification, e.g. M.S. in

Surgery or a recognized qualification

equivalent thereto.

iii) Three years teaching and/or research

experience in a recognized Institution in the

subject of specialty after obtaining the

qualifying degree of MS in Surgery or a

qualification recognized equivalent thereto.

15 Lecturer in English &

Communication Skills

i) M.A. in English with preferably 60% and

above but at-least 55% marks or equivalent

grade in point scale from a recognized

university.

ii) Should have B.Ed degree/cleared NET by

UGC/CSIR or SLET/SET.

iii) Should have at least 3 to 5 years experience of

teaching English.

iv) Candidate with Ph.D Degree shall be exempted

from NET/SLET/SET.

अखिल भारतीय आयरविजञान सस थान All India Institute of Medical Sciences

असारी नगर नई दिल ली -220011 Ansari Nagar, New Delhi-110029

सरविा आधार पर सकाय पिो हत आविन परपतर

Application form for Faculty Posts on Contract basis

विजञापन स/.Advertisement No.

पद का करमाक विजञापन दख आिददत पद / Serial No. of the Post Post applied for (Refer advertisement)

(स पष रप स रवशिष ता /रवलय का ल लि करख क/ indicate clearly the speciality/ discipline)

1. नाम स पष कषरो म/Name in block letters:-

2. वपता /पत का नाम स क ष कषरो म/ Father / Husband’s Name in block letters:-

3. (क) स थायी प पता /(a) Permanent Address:-

ो ाज यी /State

वपन/Pin

(ब) डाक का पता/b) Postal Address:-

ो ाज यी /State

वपन/Pin

4. सपकक वििो ण/ Contact Details:-

एस . ट.डप. कोड सदित फोन न /.

निपनतम पासपो क साईज का फो ो

चिपकाए/ Affix here a recent

passport size

photograph

Phone No. With STD Code:

मोबाइल न / Mobile No.:

ई -मल पता / E-mail address:

ददनाक/Date माि/Month िरक/Year

5. परमाण -पप क कनसाो जन म तचथ / Date of Birth with documentary evidence

Years Months Days

ददनाक 01.01.1025 क कनसाो आयी / Age as on 01.01.2015

6. क यी ा आप/Are you

(क) जन म स भाो तपयी नागरो क ि कथिा कचििास दिाो ा? (सबचित पो चिहननत को ) जन म स/By Birth कचििास दिाो ा/By

Domicile (a) a citizen of India by birth and or by domicile?

(Tick the relevant column)

यी दद आप कचििास दिाो ा भाो तपयी नागरो क ि तो परमाण -पप सल न को / If citizen of India by domicile, attach documentary evidence

7. क यी ा आप क .जा/.क.ज.जा/.क.वप.ि .स सबचित ि ? (िा /निट )/ Are you a S.C./S.T./OBC Candidate? (Yes/No):

यी दद िा, तो िगक का उल लख को (परमाण -पप सल न को ) क .वप.ि. की दशा म भाो त सो काो क तित आो कषषरत पद पो नयी हकत क ललए कभप िाल म िि उपयी क त पराचिकाो ट दिाो ाजाो ट परमाण -पप िोना िादिए/

If Yes, mention the Category (attach documentary evidence) In case of OBC, the certificate should be issued by the appropriate

authority recently valid for appointment to the post reserved under

Govt. of India.

8. ललग/Sex: परर/Male मदिला/Female (सबचित पो चिनन लगाए/Tick the relevant)

9. शकषषरक यी ो यी ता/Educational Qualification:-

पो टषरा का नाम/ Name of the

Examination

विरयी /वििा/ विलशष ता/ Subject/

Discipline/

Specialty

विश िविदयी ालयी / सस थान

/मिाविदयी ालयी /University/

Institute/College

पाठयी करम को पणक को न की तचथ /Date of

completion of

course

क तम पो टषरा उत तपणक को न का

माि तथा िरक/ Month & Year of

Passing final

examination

परयी ास की सख यी ा

No. of

attempts

पाठयी करम की किचि /Duration of

course

एम।बी/बी/एस

M.B.B.S

एम डी/ एम एस

M.D./M.S

†×�Ö»Ö ³ÖÖüŸÖßµÖ †ÖµÖãÙ¾Ö–ÖÖ­Ö ÃÖÓãÖÖ­Ö All India Institute of Medical Sciences

†ÓÃÖÖüß ­Ö�Öü, ­Ö‡Ô פü»»Öß-110029 Ansari Nagar, New Delhi-110029

ÃÖÓ�úÖµÖ Ö¤üÖë ÆêüŸÖã †Ö¾Öê¤ü­Ö ÖÏÖ¡Ö Application form for Faculty Posts

×¾Ö–ÖÖÖ­Ö ÃÖÓ./Advertisement No.

Ö¤ü •úÖ •ÎúÖÖÓ•ú ( ×¾Ö–ÖÖÖ­Ö ¤êü•Öë) †Ö¾ÖêפüŸÖ Ö¤/ Serial No. of the Post Post applied for (Refer advertisement)

1. ­ÖÖÖ ÃÖ™ü †•ÖüÖë Öë/Name in block letters:-

›üÖò./Dr.

2. ×ÖŸÖÖ/ Ö×ŸÖ �úÖ ­ÖÖÖ ÃÖ™ü †�ÖüÖë Öë/ Father / Husband’s Name in block letters:-

3. (†) ãÖÖµÖß ÖŸÖÖ/ (a) Permanent Address:-

üÖ•µÖ/ State

×Ö­Ö/ Pin

(²Ö) ›üÖ�ú �úÖ ÖŸÖÖ/(b) Postal Address:-

üÖ•µÖ/ State

×Ö­Ö/ Pin

­Ö¾Öß­ÖŸÖÖ ÖÖÃÖÖÖê™Ôü ÃÖÖ‡Ô•Ö •úÖ ±úÖê™üÖê

דÖÖ�úÖ‹Ó/ Affix here a recent

passport size

photograph

†×�Ö»Ö ³ÖÖüŸÖßµÖ †ÖµÖãÙ¾Ö–ÖÖ­Ö ÃÖÓãÖÖ­Ö All India Institute of Medical Sciences

†ÓÃÖÖüß ­Ö�Öü, ­Ö‡Ô פü»»Öß-110029 Ansari Nagar, New Delhi-110029

ÃÖÓ�úÖµÖ Ö¤üÖë ÆêüŸÖã †Ö¾Öê¤ü­Ö ÖÏÖ¡Ö Application form for Faculty Posts

×¾Ö–ÖÖÖ­Ö ÃÖÓ./Advertisement No.

Ö¤ü •úÖ •ÎúÖÖÓ•ú ( ×¾Ö–ÖÖÖ­Ö ¤êü•Öë) †Ö¾ÖêפüŸÖ Ö¤/ Serial No. of the Post Post applied for (Refer advertisement)

1. ­ÖÖÖ ÃÖ™ü †•ÖüÖë Öë/Name in block letters:-

›üÖò./Dr.

2. ×ÖŸÖÖ/ Ö×ŸÖ �úÖ ­ÖÖÖ ÃÖ™ü †�ÖüÖë Öë/ Father / Husband’s Name in block letters:-

3. (†) ãÖÖµÖß ÖŸÖÖ/ (a) Permanent Address:-

üÖ•µÖ/ State

×Ö­Ö/ Pin

(²Ö) ›üÖ�ú �úÖ ÖŸÖÖ/(b) Postal Address:-

üÖ•µÖ/ State

×Ö­Ö/ Pin

­Ö¾Öß­ÖŸÖÖ ÖÖÃÖÖÖê™Ôü ÃÖÖ‡Ô•Ö •úÖ ±úÖê™üÖê

דÖÖ�úÖ‹Ó/ Affix here a recent

passport size

photograph

-डी एम/एम सी एच D.M./M.Ch

एम एस सी

M.Sc.

.पी एच डी Ph.D

अन य कोई परीकषा

(ए)/ Any other

examination(s)

(कपयी ा सबचित उपाचियी को चिहननत को /Please tick the relevant Degrees)

10. ो ोजगाो का वििो ण/Employment details:-

सगठन का नाम/ Name of the

organization

सिा गरिण को नकी ताो टख/

Date of

Joining

सिा छोडन की ताो टख /Date of

Leaving

िारो त पद का नाम/Name

of the post

held

क यी ा आप तदथक /सविदा/नयी लमत

आिाो पो ि/

Whether on

Adhoc/

Contract/

Regular Basis

कायी क की परकत (लशषरण, शोि यी ा ो ोगप उपिाो )/Nature

of work (Teaching,

Research or Patient

Care)

प -बड/

Pay Band

and present

basic pay

11. यी दद कोई, शोि कायी क का कनभि तथा परकालशत सामगरप उपलब ि ि तो वििो ण सदित उसका पनमकदरण सल न को /Experience of Research work and available published material, if any, mention

the details and enclose reprint thereof:-

12. परकाशन एि कनसिान कायी क (किल सख यी ा द)/ Publication and Research Work (Give number only):-

परकालशत/Published परकाशनािपन/Under

Publication

परथम लखक /कलभि यी हकत /लखक/ 1

st Author/

Communicating Author

1. अनसधान पतर/Research

Papers

(क) सिपबदध पतरपकाए (a) Indexed Journals

(ख) गो -सिपबदध पतरपकाए (b) Non-Indexed Journals

2. पस तकख क /Books

(क) पाठयी पस तक (a) Text Books

(ख) सपाददत पस तक (b) Edited Books

(ग) शकषषरक पस तक (c) Educational Books

3. पस तको मख क अ याय Chapter in Books

4. सार/Abstracts

(क) सिपबदध पतरपकाए (a) Indexed Journals

(ख) गो -सिपबदध पतरपकाए (b) Non-Indexed Journals

पयिक त कथनो की पषष मख क परकािनो की सची सलग न करख क। / List of publications in support of the aforesaid figures should be enclosed.

13. मख यी कन िरक क रप म कनसिान परो यी ोजनाए/ Projects as Chief Investigator:-

नचि का सरोत/Source of funding िरक/Year कल ो ालश/Total Amount

14. ि यी ािसायी क नकायी क पो स काो , छापिहततयी ा एि सदस यी ता / Awards, fellowships and membership of professional bodies:-

15. ो ाष रटयी नकायी एि सस थान म सिपबदध कतो ाकष रटयी पतरपका क सपादकीयी मडल /पनो टषरा सलमतयी की सदस यी ता/ Membership of Editorial boards of indexed international journals/Review Committees at

National bodies and Institutions:-

16. सिा:[नई यी न /विलशष ता/परयी ोगशाला/सवििा/कायी ककरम क विकास ित सकयी ा गयी ा यी ोगदान/विकलसत की गई चिसकत सपयी कथिा नदानक परसकरयी ाए कथिा ललए गए प न (साकष यी सल न को )]/

Service: [Contributions made towards the development of new unit/speciality/laboratory/facility/

programs/therapeutic or diagnostic procedures developed or patents taken (enclosed evidence)]:-

17. सामदायी क तथा ो ाष रटयी कायी ककरम म यी ोगदान/Contributions in community & national

programmes:-

18. कध यी ापन तथा कनसिान म सकए गए कपन विलशष यी ोगदान क बाो म 022 शब द म उल लख को / Describe you most notable contribution in Teaching and Research in 200 words:-.

19. आपकी ो ायी म, सस थान क ललए 02 पराथलमकता िाल कपकषषरत षरप /

In your understandings, top 10 priority required areas for the Institute.

20. नम नललिखत परमाणपप /कलभलख की स िपरमािणत परतललवपयी ा नपि ददए िए करम म सल न को क / Attach

self attested photocopies of the following certificates/ documents in the order as mentioned below:-

1. जन म ततथथ स सबथधत परमाण पतर/Certificate in r/o date of birth.

2. इस आविन परपतर क कर .स . 9 मख क षललखित िकषकषक योग यता की पाथध परमाण पतर/Degree

certificates of the qualification as mentioned in Sl. No. 9 of this application form.

3. इस आविन परपतर क कर स 20 मख क जसा कक ल लि ककया गया पी,जी/पी एच डी क पणि करन क पशचात क अनभव परमाणपतर/ Experience certificates after completion of P.G. degree/ Ph.D as mentioned in Sl. No. 10 of this application form.

वचनबदध/UNDERTAKING

म सत यी नष ठा स कलभपहष को ता /को तपि सक पो दट गई सिना , जिा तक मझ पता ि, सत यी तथा सभप तो ि स सिट ि क मन सकसप भप सिना को निट छपायी ा ि क म ििन दता /दतप ि सक इसम दट गई कोई सिना यी दद गलत यी ा झठी पायी प जातप ि, तो म लाग नयी म क कनसाो की गई काो किाई क ललए उत तो दायी प िो गा /िो गप क/ I solemnly

affirm that the information furnished above is true and correct in all respects to the best of my knowledge. I have not

concealed any information. I undertake that any information furnished herein is found to be incorrect or false, I shall be

liable for action as per rules in force.

स थान/Place

उम मपदिाो क िस ताषरो /Signature of the Candidate

ददनाक/Date

उम मपदिाो का नाम/Name of the Candidate

(स पष कषरो म/in block letters)