Zilla Swasthya Samiti, Subarnapur Looking for Contractual Employee at Orissa Full Time

Name of the Post:
12.2. Date of Appointment in the same Post (Attach appointment Letter) :

12.3. Date of Joining in the same Post (Attach Joining Letter/deployment order) :

12.4. Place of working in the same post : ( Attached Documentary proof)

Name of the District Date of joining Date of relieve

Present Contract Period : ( Attach Renewal Order/agreement copy)

From to

Declaration I do hereby declare that the information furnished above are true to the best

of my knowledge and belief and that, if at any stage, it is found that any of the above

material information is false/incorrect or is suppressed by me, my candidature/appointment

in Zilla Swasthya Samiti, Subarnapur (255) under OSH & FW, Odisha is liable to be

rejected/terminated.

Date :
Place : Full Signature of the Applicant

Note:
The following documents are to be enclosed along with the application:

a) Two copies of passport size colour self attested photograph.

b) Self attested photocopy of ldentity proof

c) Original Appointment order/ Joining Report. Order related to transfer & joining, if any.

d) No Objection Certificate from concerned CDM & PHO/ appointing authority & Proof of

Contract renewal i.e renewal order/ agreement copy.