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    DTD.X: Sri Venkateswara Institute of Medical Sciences, Tirupati Notification Roc - No.C1/21/Cfar/Svims/18, Dtd.09.02.19

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    Ramanje Sir
    1. The notification is from Sri Venkateswara Institute of Medical Sciences in Tirupati regarding an application for the post of ______________. 2. It provides instructions on filling out sections of the application including personal details, education history, work experience, and required documents. 3. The last date to submit the filled application is March 20, 2019 by 5:00PM.

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    DTD.X: Sri Venkateswara Institute of Medical Sciences, Tirupati Notification Roc - No.C1/21/Cfar/Svims/18, Dtd.09.02.19

    Uploaded by

    Ramanje Sir
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    1. The notification is from Sri Venkateswara Institute of Medical Sciences in Tirupati regarding an application for the post of ______________. 2. It provides instructions on filling out sections of the application including personal details, education history, work experience, and required documents. 3. The last date to submit the filled application is March 20, 2019 by 5:00PM.

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    1. The notification is from Sri Venkateswara Institute of Medical Sciences in Tirupati regarding an application for the post of ______________. 2. It provides instructions on filling out sections of the application including personal details, education history, work experience, and required documents. 3. The last date to submit the filled application is March 20, 2019 by 5:00PM.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views2 pages

    DTD.X: Sri Venkateswara Institute of Medical Sciences, Tirupati Notification Roc - No.C1/21/Cfar/Svims/18, Dtd.09.02.19

    Uploaded by

    Ramanje Sir
    1. The notification is from Sri Venkateswara Institute of Medical Sciences in Tirupati regarding an application for the post of ______________. 2. It provides instructions on filling out sections of the application including personal details, education history, work experience, and required documents. 3. The last date to submit the filled application is March 20, 2019 by 5:00PM.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES, TIRUPATI

    NOTIFICATION Roc.No.C1/21/CfAR/SVIMS/18, Dtd.09.02.19


    dtd.x Published in Andhra Jyothi, Dated 25.02.2019

    APPLICATION FOR THE POST OF ___________________________________

    1. Name of the Applicant (in Full) - (in capital letters) – (as per SSC certificate)
    SURNAME – ONE SPACE GAP – NAME

    2. Date of Birth: 3. Age (as on 01.07.2019): ____ YEARS____MONTHS____DAYS


    D D M M Y Y Y Y

    Affix Passport size


    4. Sex: Male / Female : Photo attested by
    Gazetted Officer
    5. Category (Tick in the appropriate box) & Caste :________________ (write candidate name
    and post applied for on
    BC the backside of the
    OC SC ST
    A B C D E photograph)

    6.
    Address for communication Permanent Address

    Mobile : Email:
    Ph: Land line:

    7. Qualifications (from S.S.C)


    Year of Class/
    S.No. Qualification College/Institution Board/University % of marks
    Passing
    (a). Academic:
    1.

    2.

    3.

    4.

    (b). Technical:
    Degree/PG Diploma/
    Diploma/Certificate

    (c). Any other Qualification:

    Contd..2
    // 02 //

    8. Registration details from the concerned Board in respect of Technical Qualifications:

    a) Registration No.________________ b) Date: ________________

    9. Details of experience:
    Sl. Total
    Name of the Institution Place Designation From To
    No. Period

    Total Experience:

    DECLARATION

    I do hereby certify that the particulars furnished above are true and correct to the best of
    my knowledge. I also, declare that in the event of any information furnished in the application
    and enclosures are found to be incorrect or false at a later date, my application may be rejected.

    Date : Signature of the Applicant


    Place : Name in full:
    (in capital letters)

    NOTE: Photostat copies of the following documents to be submitted along with the application
    (with attestation from the Gazetted Officer)

    1. Two Pass Port size photos in addition to the photo affixed on the application
    (write candidate name and post applied for on the backside of the photographs)
    2. Attested copy of SSC
    3. Attested copy of Caste Certificate
    4.Copies of all other Educational Qualifications
    5.Copies of Experience Certificates from the concerned authorities along with
    EPF/PF/CPS Annual statements with reference to the experience claimed as proof.
    6.Copies of Registration details from the concerned Board/Council in support of 8th
    point
    7. Any other relevant certificates

    LAST DATE FOR RECEIPT OF FILLED IN APPLICATION : 20-03-2019 5.00 P.M.

    For further details contact phone numbers 0877-2287777, Ext. 2226.

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