Memo No. DHFWS/ ASHA/ :<.b 0

Govt. of West BengalOffice of the District Health & Family Welfare Samiti

Dakshin DinajpurDate: ~ O~/2016

Applications in 'prescribed format' are invited from the resident of this district for the posts of Block ASHA Facilitator (03 ineach Sub Division) purely on contractual basis with fixed monthly remuneration Rs. 7,500/-. Applications from the candidateof the respective Sub-Division will be received at the office of the Sub-Divisional Office (for Hili, Kumarganj, Balurghat, Tapanblock) and the SDO, Gangarmapur at Buniadpur (for Gangarmapur, Banshihari, Harirampur, Kushmandi block), from15/02/2016 to 25/02/2016 time 11.00 a.m. to 04.00 pm.Selection criteria:1. Master's degree in Social Science / Sociology /Social Anthropology / Social Work (MSW) / Business Administration (MBA) /Economics / Rural Development / Mass Communication

OR

Graduate degree in any discipline with minimum 2 Years' experience in health projects.2. Preference will be given to candidates having working experience in ASHA programme3. Knowledge of MS Office & Internet4. Ability to communicate effectively5. Ability to work hard6. Willing to travel extensively7. Should be resident of the same Sub-division where he/she is applying8. Age should not exceed 40 years as on 01.01.2015. Upper age relaxation will be 5 years for SC/ST and 3 years for OBC. (i.e. for URcategory not born before 01.01.1975 & not born after 01.01.1997 / for OBC category not born before 01.01.1972 & not born after01.01.1997/ for SC& ST category not born before 01.01.1970 & not born after 01.01.1997).9. Reservation of the post:

Balurghat Sub Division (Hili, Kumarganj, Gangarmapur Sub Division (Gangarmapur,Balurghat, Tapan block) Banshihari, Harirampur, Kushmandi block)

Sl. No. Category No. of vacant post Category No. of vacant postI Unreserved (EC) 0] Unreserved (EC) 012 Scheduled Caste(EC) 01 Scheduled Caste(EC) 013 Scheduled Tribe 01 Scheduled Tribe 01Documents to be submitted / shown mandatorily by the applicant:1. Self Attested photocopy of the proof of residence (Voters Identity Card/ Ration Card)2. Self Attested photocopies of mark sheets of Higher Secondary or Equivalent, Graduation and Mast's degree, as applicable.3. Self Attested photocopy of age proof of the candidate & SC/ ST/ OBC certificate. (OBC certificate must show categorization i.e.category 'A' or category 'B').4. 2 copies of P.P size recent self attested photograph.5. 2 Self attested envelope with postage stamp of Rs. 5/- affixed on it.Selection process:1. The selection will be based on merit (academic result) and experience in health projects, along with a Written Test (SO marks),Computer Skill Test (25 marks).2. 15% weightage is to be given to academic qualification.3.50% weightage is to be given to academic result out of which 20% weightage is to be given to marks obtained in the HigherSecondary Examination or equivalent, and 30% weightage is to be given to marks obtained in the Graduation or equivalent.4. 15% weightage is to be given to the No. of years of work experience in health projects. Continuous engagement in a healthrelated project with an assigned designation will only be considered as "experience in health project'. No certificates specifyingthat the candidate has worked as volunteer e.g. in Pulse Polio, Social Work, leprosy etc. will be considered as experience in Healthrelated project.5. 10% weightage is to be given to the marks scored in Written Test.6. 10% weightage is to be given to the marks scored in Computer Skill Test.

Others Terms and conditions:1. An application fee in form of Demand Draft of Rs. 100.00 for General applicant and Rs. 50.00 for reserved categories to besubmitted with the application. The Demand Draft should be in favor of District Health & Family Welfare Samiti, Dakshin Dinajpurpayable at Balurghat.2. No TA/DA will be paid to the candidates for the selection test / interview.4. Envelope containing the application should be superscribed with Application for the post of "Block ASHA Facilitator________ block"

5. Authority ce~e right to cancel all 0' any application without assigning any reason.

Chief Medical Off¢of~i,fibDakshin Dinaiour liT

~9/1--4District Magistrate

Dakshin Dinalour

7. Name (IN CAPITAL Letter):

Attach passportsize photo dulyself attested

(0

The Sub Divisional Officer (SDO),Balurghat / Gangarampur at BuniadpurDakshin Dinajpur

Application for the post of "Block ASHA Facilitator" for Block

8. Father's / Husband's Name (IN CAPITAL Letter)

1 1 1 1 1 1=1==1 1 1 1 1----19. Gender: Male / Female / Others (if others specify).

10. Category: SC / ST / OBC-A / OBC-B / UR / UR(EC) / SC(EC)

II. Religion: _

12. Date of Birth :

1 D 1= M M y y y y

7. Age as on (01.01.2015):

8. Present Address with PIN code (IN CAPITAL Letter):

Pin -

9. Permanent Address with PIN code (IN CAPITAL Letter):

Pin -

IO.Contact Number:

IT] III CDI!II.E-mail address:

·

12. Academic Qualification:

SI. Exam. Passed Board! Year of Total Marks % Major subjectUniversity passing Marks obtained

01 H.S. orequivalent

02 Graduation

03 Master's degree

13. Knowledge in MS office & Internet:

SI. No. Course name/Qual ification Duration Institution Year1

2

3. Expenence In Healt .... ___ ..SI. Name of the Name of the Date of Date of Duration Type of Experience

Employer post Joining Leaving work done in Govt./NGO

I

2

3

4

5

Ith P .

4. Details of Draft :

Draft No. Date Drawn Bank Branch Amount

Declaration: I hereby declare that I have carefully read the condition of eligibility mentioned in the advertisement. Theseconditions are acceptable to me and I fulfill these conditions. The details mentioned in the application are true and I shallfurnish the necessary certificates in original whenever required. If any information / details found to be incomplete / incorrect/ false at any stage of the selection process or if any fact found to have been concealed by me or detected even after theappointment, my services may be terminated.

Date:Place: (Full Signature of the candidate)