ii) iv) iv} vi NIZAM’S INSTITUTE OF MEDICAL SCIENCES (A UNIVERSITY ESTABLISHED UNDER THE STATE ACT) PANIAGUTTA zi: HYDERABAD ~ 500 082, TS. Re.No:HRI01/201 Dt: 19-01-2019 NOTIFICATION Applications along with a registration fee of Rs.500/- are invited from the eligible Candidates for filling up the post of Senior Resident in Clinical Immunology & Rheumatology, Surgical Oncology and Biochemistry ‘The required qualifications for Senior Resident is MD/DNB/MS/DM/M.Ch other details of application form can be downloaded from the institute website wwww.nims.edu.in The eligible qualification should be recognized by the Medical Council of India Applications of the candidates who do not fullill the required qualification & Experience and not submitted other necessary documents will be rejected summarily and no Correspondence shall be entertained. Senior Residents will be paid a Consolidate amount of Rs.70,000/- per month Applications to be filled on line and Herd copy to be submitted ‘The last date for receipt of filled in application for Senior Resident with enclosures is 11-02-2019 & submit to the Executive Registrar, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad- 500 082. TS. View NIMS Web Site for any updates, sf DIRECTORNIZAM'S INSTITUTE OF MEDICAL SCIENCES University established under the State Act) PUNJAGUTTA:: HYDERABAD 500 082, TS SENIOR RESIDENTS APPLICATION FORM Application Number, PostAppied for [ ] Department 4, Full Name (in biock letters) Surname Name 2. Father's Name Spouse's Name 4. Date of Birth 5. Marital Stetus Married ! Unmarried 6. Full Postal Address | Prosent address for communication Permanent Address 7 Telephone No, :STD Code:__ Tel.No:_ Mobile Email IDSocial Status 410 Place of Birth 11, Place of scheeling from 1°"— 10" class 2 Examination passed including postgraduate examination, (Enclose Xerox copies). Degree Name of the College ] Morth & Year | mci a) Class / & University of passing the | Recognition Division examination | and b) Distinotion or Permanent prize, lfany, Medicel | in anyone or Registration more subjecis MBBS, Postgraduate Qualification i) MOMSIDNE* ii) DMA Cv DNB (Duration of the Course) "Any other Qualification (s) | * DNB: The bed strength and single / multi specialty type of hospital to be provided,Conta. 3. 43, Teaching Experience if any in MCI Recognized / Central institute S\_[ Designation College/instituts | From to MCI Recognition 14, Research Experience SI. | Title of Article | Authorship Type of article ] Journal Impact Citation |e" Original) Case | National’ | factor index cone Proceeding ; | ceceesty oe td ! | ] 15, Any specialized training received in India Abroad 16. Awards! Recognitions 17. Fellowships & Membersnios 2) Profession Bodios b) Social Organizations 18 Number of Papers presented in State conferences National conferences Intemational conferencesre 20, 24 22, 23. |.@) Are you employed currently? If Yes, NOC from the employer b) Are you a Government Servant, if yes, are you | entitled to persion Monthly emoluments being drawn at present Notice required for joining service if selected State Regional Language or lanquages yau know: a) Toread and write b) To speak also. Income Tax PAN Number ‘Aadhar Number Signature of the ApplicantPARTICULARS OF ENCLOSURES: 1 X Class Gertificate/ Equivalent cetficate. 2) Study and Conduct Certificate of MIS8S//IMD/MS/DMIM.Chi DNB course by the Principal of the College where studied, Permanent Medical Registration Cerificate 4 MCI Recognition status Provisional or Final MBBS/MD/MS/DMIM.Chi DNB Degree Certificate No Objection Certificate and performance report from the current Employer Experience (designation; date of service from and to- should be mentioned clearly) Publications (Reprints to be provided at the time of interview). Bank Account