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2020/DQ04.02.2020/Add... · 2020-07-25 · Application for the AP Adhock Post (Advertisement dated 07.07.2020) To Director, Research and Medical Education, Punjab, Medical Education

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Page 1: 2020/DQ04.02.2020/Add... · 2020-07-25 · Application for the AP Adhock Post (Advertisement dated 07.07.2020) To Director, Research and Medical Education, Punjab, Medical Education
Page 2: 2020/DQ04.02.2020/Add... · 2020-07-25 · Application for the AP Adhock Post (Advertisement dated 07.07.2020) To Director, Research and Medical Education, Punjab, Medical Education
Page 3: 2020/DQ04.02.2020/Add... · 2020-07-25 · Application for the AP Adhock Post (Advertisement dated 07.07.2020) To Director, Research and Medical Education, Punjab, Medical Education
Page 4: 2020/DQ04.02.2020/Add... · 2020-07-25 · Application for the AP Adhock Post (Advertisement dated 07.07.2020) To Director, Research and Medical Education, Punjab, Medical Education

Application for the AP Adhock Post (Advertisement dated 07.07.2020)

To

Director,

Research and Medical Education, Punjab,

Medical Education Bhawan,

1st Floor, Sector -69,

SAS Nagar, Mohali-160069

Subject:- Application for the post of Assistant Professor Anaesthesia (Adhock) on the contract

basis. Name of applicant ............................................................................................

Respected Sir,

I am applying for the posts of Assistant Professor Anaesthesia (Adhock) on the

contract basis. Following required self attested documents are attached: -

Sr. No.

Name of documents Page No.

1. Photocopy of demand draft (with attachment of original demand draft of Rs. 1000/-, No..................... date ..................... Bank ...................

2. Print out of Online application form received on email (Click here to apply online, Mandatory)

3. Proof of Date of Birth 4. Photo ID Proof 5. Proof of Punjabi pass at Matriculation or equivalent standard 6. Caste Certificate, if applicable. 7. MBBS (All Prof.) Certificates along with attempt certificate and Degree 8. MD/MS Certificates along with attempt certificate and Degree 9. DM/Mch/DNB Certificates along with attempt certificate and Degree 10. Additional Qualification, if any 11. Registration of Degree 12. Teaching Experience Certificate from competent authority. 13. Detail of Teaching Experience in attached from. 14. NOC from competent Authority, if applicable 15. If Govt. Employee, proof of regular Govt. employment 16. List of Publications in prescribed format along with copy of Publications

Page numbering is mandatory.

Signature of applicant

Self attested, recent,

Passport Size photo

Page 5: 2020/DQ04.02.2020/Add... · 2020-07-25 · Application for the AP Adhock Post (Advertisement dated 07.07.2020) To Director, Research and Medical Education, Punjab, Medical Education

Detail of Experience

Sr. No.

Institute Post Date of PG recognition of the

Institute in concerned subject.*

Dates from - to Total duration

* This information is available on the mci website on "College and Course Search" under "Information Desk" DNB candidates must attach proof of institution recognition from NBE.

Detail of Publications

Sr. No.

No. of Research Publications

Journal Date /year

Index Authorship

Signature of applicant