CCRH - Department of AYUSH

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9. Prescribed criteria and qualifications/experience possessed by the candidateEssential (1)(2)(3)Desirable (1)(2)(3)Qualifications/ experience requiredQualifications/experiencepossessed by the officerNote: (if any qualification has been treated as equivalent to the one prescribed in the rules, statethe authority for the same)10. Particulars of Registration:Registration No.Date ofRegistrationAuthority givingRegistrationStatusRenewalRegistration.ofofWhetherregistered withCCH or anyother authority11. Details of the employment in chronological order, post wise (enclose separatesheet showing status of the post etc., duly signed)Office/Institution/OrganizationPost held From To Pay band + Grade Pay/Scale of pay andpresent basic payNature of dutiesof posts held.12. Nature of present employment i.e., whether ad-hoc or temporary or quasi-permanentor permanent.13. In case the present employment is held on deputation/contract basis please state:a) Date of initial appointmentb) Period of appointment, on deputation/contractc) Name of the parent office/organization to which the candidate belongs14. Additional details about present employment:a) Whether working under – Central Government/Autonomous Organization/Government Undertaking/State Government/Universitiesb) Pay Band + Grade Pay/Scale of pay in the present post.c) Total emoluments receiving per month:15. Please state whether the candidate is working in the same Department and is inthe feeder grade or in the feeder to the feeder grade.16. Additional information, if any, which the candidate would like to mention in supportof the candidate’s suitability for the post. (Enclose a separate sheet, if the spaceis insufficient)
17. Whether belongs to SC/ST/OBC/General.18. The candidate should enclose attested photocopies in support of his/her qualifications(general & technical) mark sheets of all the examinations conducted by Board/Council/Universityfor the technical courses, Internship training, Registration Certificate, experience etc., in supportof his/her claim.19. Publications in peer reviewed research Journals, Magazines (Particulars to be statedin brief).20. RemarksUNDERTAKINGCertified that the information given above is correct to the best of my knowledge.Signature of candidateDate: Complete Postal Address of the candidatewith PIN CODE
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CCRH - Department of AYUSH

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