Urgent Requirement of Specialist Doctors
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APPLICATION FORM (Appointment of Specialists under Corpus fund ,Health & Family Welfare Department., Govt. of Odisha) Advertisement No. Photograph Post applied for Identity Proof No. 1.Applicant’s Name: 2.Father’s Name: 3. Date of Birth: 4.Sex: 5. Age as on date of walk-in-interview/counselling: 6. Present Contact Address: 7.Contact Telephone No.: Permanent Contact Address: Mobile No.: 8.E-mail Address: 9.Language spoken/written: 10.Professional Qualification details: Sl. Exam Passed Name of Year of Marks (excluding 4th Duration No. Board/University passing optional) of Full Marks %of course Mark secured Marks 11.Employment Record: Total Years of post qualification Experience: 12.Experience Details (starting from present/ last employment): Name of the Employer Post Held From To Date Total Date Year Month 13.District of preference: 14.Expected remuneration per month(Rs.): 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 under Health & Family Welfare Department (OSH&FWS), Odisha is liable to be rejected / terminated. I also declare that I have never been disengaged under Health & Family Welfare Department, Govt. of Odisha on administrative ground such as disobedience / poor performances / misbehaviour / criminal activity etc. Date: Place: Full Signature of the Applicant N:B: The candidate needs to e-mail the filled in and signed application to : [email protected] Specialist Vacancy for Corpus Fund Vulner KBK / Sl. No District Institution Category Specialisation ibility TSP 1 Bolangir SDH Patnagarh (FRU) (V1) (DP) 108 SDH Ophthalmology V1 KBK 2 Bolangir SDH Patnagarh (FRU) (V1) (DP) 108 SDH Orthopaedics V1 KBK 3 Bolangir SDH Patnagarh (FRU) (V1) (DP) 108 SDH Anaesthesia V1 KBK 4 Bolangir SDH Patnagarh (FRU) (V1) (DP) 108 SDH Pathology V1 KBK 5 Bolangir SDH Titialgarh (FRU) (V0) (DP) 108 SDH Surgery V0 KBK 6 Bolangir SDH Titialgarh (FRU) (V0) (DP) 108 SDH Anaesthesia V0 KBK 7 Bolangir SDH Titialgarh (FRU) (V0) (DP) 108 SDH Pathology V0 KBK 8 Bolangir SDH Titialgarh (FRU) (V0) (DP) 108 SDH Orthopaedics V0 KBK 9 Bolangir CHC Loisingha (V0) (DP) 108 CHC Paediatrics V0 KBK 10 Bolangir CHC Loisingha (V0) (DP) 108 CHC Medicine V0 KBK 11 Bolangir CHC Kantabanji (FRU) (V0) (DP) 108 CHC Medicine V0 KBK 12 Bolangir CHC Kantabanji (FRU) (V0) (DP) 108 CHC Surgery V0 KBK 13 Bolangir CHC Turekela (V0) CHC O&G V0 KBK 14 Bolangir CHC Turekela (V0) CHC Paediatrics V0 KBK 15 Bolangir CHC Turekela (V0) CHC Medicine V0 KBK 16 Bolangir CHC Turekela (V0) CHC Surgery V0 KBK 17 Bolangir CHC Agalpur (V1) 108 (PDP) CHC O&G V1 KBK 18 Bolangir CHC Agalpur (V1) 108 (PDP) CHC Paediatrics V1 KBK 19 Bolangir CHC Agalpur (V1) 108 (PDP) CHC Medicine V1 KBK 20 Bolangir CHC Agalpur (V1) 108 (PDP) CHC Surgery V1 KBK 21 Bolangir CHC Saintala (V1) (DP) 108 CHC Paediatrics V1 KBK 22 Bolangir CHC Saintala (V1) (DP) 108 CHC Medicine V1 KBK 23 Bolangir CHC Saintala (V1) (DP) 108 CHC Surgery V1 KBK 24 Bolangir CHC Ghasian (V1) (DP) CHC O&G V1 KBK 25 Bolangir CHC Ghasian (V1) (DP) CHC Paediatrics V1 KBK 26 Bolangir CHC Ghasian (V1) (DP) CHC Medicine V1 KBK 27 Bolangir CHC Ghasian (V1) (DP) CHC Surgery V1 KBK 28 Bolangir CHC Belpara (V1) (DP) 108 CHC Paediatrics V1 KBK 29 Bolangir CHC Belpara (V1) (DP) 108 CHC Medicine V1 KBK 30 Bolangir CHC Kholan (V1) (PDP) CHC Paediatrics V1 KBK 31 Bolangir CHC Kholan (V1) (PDP) CHC Medicine V1 KBK 32 Bolangir CHC Kholan (V1) (PDP) CHC Surgery V1 KBK 33 Bolangir CHC Sindhekela (V1) (PDP) 108 CHC O&G V1 KBK 34 Bolangir CHC Sindhekela (V1) (PDP) 108 CHC Paediatrics V1 KBK 35 Bolangir CHC Sindhekela (V1) (PDP) 108 CHC Medicine V1 KBK 36 Bolangir CHC Sindhekela (V1) (PDP) 108 CHC Surgery V1 KBK 37 Bolangir CHC Chudapali (V1) (PDP) CHC O&G V1 KBK 38 Bolangir CHC Chudapali (V1) (PDP) CHC Paediatrics V1 KBK 39 Bolangir CHC Chudapali (V1) (PDP) CHC Medicine V1 KBK 40 Bolangir CHC Chudapali (V1) (PDP) CHC Surgery V1 KBK 41 Bolangir CHC Jamgaon (V1) CHC O&G V1 KBK 42 Bolangir CHC Jamgaon (V1) CHC Paediatrics V1 KBK 43 Bolangir CHC Jamgaon (V1) CHC Surgery V1 KBK 44 Bolangir CHC Gudvela (V1) (DP) CHC O&G V1 KBK 45 Bolangir CHC Gudvela (V1) (DP) CHC Paediatrics V1 KBK 46 Bolangir CHC Gudvela (V1) (DP) CHC Medicine V1 KBK 47 Bolangir CHC Gudvela (V1) (DP) CHC Surgery V1 KBK 48 Bolangir CHC Deogaon (V0) (PDP) CHC O&G V0 KBK 49 Bolangir CHC Deogaon (V0) (PDP) CHC Paediatrics V0 KBK 50 Bolangir CHC Deogaon (V0) (PDP) CHC Medicine V0 KBK 51 Bolangir CHC Deogaon (V0) (PDP) CHC Surgery V0 KBK 52 Bolangir CHC Muribahal (V1) (DP) CHC O&G V1 KBK 53 Bolangir CHC Muribahal (V1) (DP) CHC Paediatrics V1 KBK 54 Bolangir CHC Muribahal (V1) (DP) CHC Medicine V1 KBK 55 Bolangir CHC Muribahal (V1) (DP) CHC Surgery V1 KBK 56 Bolangir CHC Khaprakhol (V1) (DP) CHC O&G V1 KBK 57 Bolangir CHC Khaprakhol (V1) (DP) CHC Paediatrics V1 KBK 58 Bolangir CHC Khaprakhol (V1) (DP) CHC Medicine V1 KBK 59 Bolangir CHC Khaprakhol (V1) (DP) CHC Surgery V1 KBK 60 Boudh DHH (FRU) (V0) (DP) 108, Boudh DHH Anaesthesia V0 KBK 61 Boudh DHH (FRU) (V0) (DP) 108, Boudh DHH Radiology V0 KBK 62 Boudh DHH (FRU) (V0) (DP) 108, Boudh DHH Pathology V0 KBK 63 Boudh DHH (FRU) (V0) (DP) 108, Boudh DHH Skin & V.D V0 KBK 64 Boudh DHH (FRU) (V0) (DP) 108, Boudh DHH Psychiatry V0 KBK 65 Boudh CHC Baunsuni (V1) (DP) 108 CHC O&G V1 KBK 66 Boudh CHC Baunsuni (V1) (DP) 108 CHC Paediatrics V1 KBK 67 Boudh CHC Baunsuni (V1) (DP) 108 CHC Medicine V1 KBK 68 Boudh CHC Baunsuni (V1) (DP) 108 CHC Surgery V1 KBK 69 Boudh CHC Purunakatak (V1) (DP) 108 CHC O&G V1 KBK 70 Boudh CHC Purunakatak (V1) (DP) 108 CHC Paediatrics V1 KBK 71 Boudh CHC Purunakatak (V1) (DP) 108 CHC Medicine V1 KBK 72 Boudh CHC Purunakatak (V1) (DP) 108 CHC Surgery V1 KBK 73 Boudh CHC Manamunda (V1) (DP) CHC Paediatrics V1 KBK 74 Boudh CHC Manamunda (V1) (DP) CHC Medicine V1 KBK 75 Boudh CHC Manamunda (V1) (DP) CHC Surgery V1 KBK 76 Boudh CHC Kantamal (V1) 108 CHC O&G V1 KBK 77 Boudh CHC Kantamal (V1) 108 CHC Paediatrics V1 KBK 78 Boudh CHC Kantamal (V1) 108 CHC Medicine V1 KBK 79 Boudh CHC Kantamal (V1) 108 CHC Surgery V1 KBK 80 Boudh CHC Adenigarh (V1) CHC O&G V1 KBK 81 Boudh CHC Adenigarh (V1) CHC Paediatrics V1 KBK 82 Boudh CHC Adenigarh (V1) CHC Medicine V1 KBK 83 Boudh CHC Adenigarh (V1) CHC Surgery V1 KBK DHH, Paralakhemundi (FRU) (V1) (DP) 108 84 Gajapati DHH Ophthalmology V1 KBK (Mental Health), Gajapati DHH, Paralakhemundi (FRU) (V1) (DP) 108 Gajapati DHH Radiology V1 KBK 85 (Mental Health), Gajapati DHH, Paralakhemundi (FRU) (V1) (DP) 108 86 Gajapati DHH Skin & V.D V1 KBK (Mental Health), Gajapati DHH, Paralakhemundi (FRU) (V1) (DP) 108 Gajapati DHH T.B & C.D V1 KBK 87 (Mental Health), Gajapati DHH, Paralakhemundi (FRU) (V1) (DP) 108 88 Gajapati DHH Psychiatry V1 KBK (Mental Health), Gajapati DHH, Paralakhemundi (FRU) (V1) (DP) 108 Gajapati DHH Pathology V1 KBK 89 (Mental Health), Gajapati 90 Gajapati CHC Mohana (V3) (DP) 108 CHC Paediatrics V3 KBK 91 Gajapati CHC Mohana (V3) (DP) 108 CHC Medicine V3 KBK 92 Gajapati CHC Mohana (V3) (DP) 108 CHC Surgery V3 KBK 93 Gajapati Chandragiri (V3) (DP) 108 CHC Paediatrics V3 KBK 94 Gajapati Chandragiri (V3) (DP) 108 CHC Medicine V3 KBK 95 Gajapati Chandragiri (V3) (DP) 108 CHC Surgery V3 KBK 96 Gajapati R Udayagiri (V3) (DP) 108 CHC O&G V3 KBK 97 Gajapati R Udayagiri (V3) (DP) 108 CHC Paediatrics V3 KBK 98 Gajapati R Udayagiri (V3) (DP) 108 CHC Medicine V3 KBK 99 Gajapati R Udayagiri (V3) (DP) 108 CHC Surgery V3 KBK 100 Gajapati B KhajuriPada (V3) (DP) 108 CHC O&G V3 KBK 101 Gajapati B KhajuriPada (V3) (DP) 108 CHC Paediatrics V3 KBK 102 Gajapati B KhajuriPada (V3) (DP) 108 CHC Medicine V3 KBK 103 Gajapati B KhajuriPada (V3) (DP) 108 CHC Surgery V3 KBK 104 Gajapati Rayagada (V3) (DP) 108 CHC O&G V3 KBK 105 Gajapati Rayagada (V3) (DP) 108 CHC Paediatrics V3 KBK 106 Gajapati Rayagada (V3) (DP) 108 CHC Medicine V3 KBK 107 Gajapati Rayagada (V3) (DP) 108 CHC Surgery V3 KBK 108 Gajapati Gurandi (V2) (PDP) CHC O&G V2 KBK 109 Gajapati Gurandi (V2) (PDP) CHC Paediatrics V2 KBK 110 Gajapati Gurandi (V2) (PDP) CHC Medicine V2 KBK 111 Gajapati Gurandi (V2) (PDP) CHC Surgery V2 KBK 112 Gajapati Gumma (V3) (DP) CHC O&G V3 KBK 113 Gajapati Gumma (V3) (DP) CHC Paediatrics V3 KBK 114 Gajapati Gumma (V3) (DP) CHC Medicine V3 KBK 115 Gajapati Kashinagar (V2) (DP) 108 CHC Paediatrics V2 KBK 116 Gajapati Kashinagar (V2) (DP) 108 CHC Medicine V2 KBK 117 Gajapati Kashinagar (V2) (DP) 108 CHC Surgery V2 KBK DHH (FRU) (V1) (DP) 108 (Mental Health), 118 Kalahandi DHH Skin & V.D V1 KBK Kalahandi DHH (FRU) (V1) (DP) 108 (Mental Health), Kalahandi DHH Pathology V1 KBK 119 Kalahandi DHH (FRU) (V1) (DP) 108 (Mental Health), 120 Kalahandi DHH Cardiology V1 KBK Kalahandi 121 Kalahandi SDH Dharamgarh (FRU) (V2) (DP) 108 SDH Anaesthesia V2 KBK 122 Kalahandi SDH Dharamgarh (FRU) (V2) (DP) 108 SDH Ophthalmology V2 KBK 123 Kalahandi SDH Dharamgarh (FRU) (V2) (DP) 108 SDH Pathology V2 KBK 124 Kalahandi SDH Dharamgarh (FRU) (V2) (DP) 108 SDH Orthopaedics V2 KBK 125 Kalahandi CHC Kesinga (FRU) (V1) (DP) 108 CHC O&G V1 KBK 126 Kalahandi CHC Kesinga (FRU) (V1) (DP) 108 CHC Medicine V1 KBK 127 Kalahandi CHC Kesinga (FRU) (V1) (DP) 108 CHC Surgery V1 KBK 128 Kalahandi CHC Kesinga (FRU) (V1) (DP) 108 CHC Anaesthesia V1 KBK 129 Kalahandi CHC Pastikudi (V2) (DP) CHC Paediatrics V2 KBK 130 Kalahandi CHC Pastikudi (V2) (DP) CHC Medicine V2 KBK 131 Kalahandi CHC Pastikudi (V2) (DP) CHC Surgery V2 KBK 132 Kalahandi CHC junagarh