(EIS) LIKE TRAINING PROGRAMME IN INDIA - NVBDCP

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Page 4Computer Literacy: Please provide brief details of computer skills, or information insupport of your ability to work with computers, in the space below:Medical History: Please list any past or present serious/ recurring illness, majorsurgery, or disability and give brief details (e.g. allergies, mental illness, heart,respiratory ailments, back trouble, diabetes, epilepsy etc.):Language Proficiency: Please confirm oral and written proficiency in languages knownto you. Your assessment shall be tested at a later stage):EnglishHindiLanguage Ability to Converse Ability to Read Ability to WriteOther (please specify__________________)Other (please specify__________________)Other (please specify__________________)Poor Fair Good Poor Fair Good Poor Fair GoodPlease use page 7 if you have insufficient space to complete any answerAFE-<strong>EIS</strong> Candidates NCDC, GDD-IC & SAMS (2012)
Page 5Papers Published:Total Number of papers published in indexed peer review journals: _______________List your publications in Vancouver Style (most recent to oldest) (Last five years only):______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Research Projects Undertaken:Project Start Date End Date Funding Project StatusAwards, Distinctions, Prizes:Name of Award Description AwardingInstitution of BodyAward DatePlease use page 7 if you have insufficient space to complete any answerAFE-<strong>EIS</strong> Candidates NCDC, GDD-IC & SAMS (2012)
Page 1 and 2: Document No: EIS-NCDC-03/12Please e
Page 3: Page 3Employment History: Please pr
Page 7 and 8: Page 7Referees: Please list three p
Page 9 and 10: Document No: EIS-NCDC-04/12INFORMAT
Page 11 and 12: (9) Write and submit, as first auth
Page 13: 8. RECOGNITION FOR DNB (EPIDEMIOLOG

(EIS) LIKE TRAINING PROGRAMME IN INDIA - NVBDCP

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