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31/01/2019 ONLINE RECRUITMENT APPLICATION (ORA) PREVIEW

SMRITI BANDHU

Application

Post Name : Assistant Professor (Anaesthesia)


Registration id : ziaadvvz

Advertisement No. Vacancy No. Application No.

01/2019 19010101112 18107092885

Registration Details

Name SMRITI BANDHU

Father's Name G L KURREY

Mother's Name CHITRA KURREY

Gender Female

Date Of Birth 19-04-1983 ( Nineteen April Nineteen Eighty Three ) View Document

Place Of Birth DALLI RAJHARA

Name of the State you were born Chattisgarh India

Nationality Citizen of India

Minority Community Nil

Marital Status Single

Community SC View Document

Community Subcaste/State Chamar, Chamari, Bairwa, Bhambhi, Jatav, Mochi, Regar, Nona, Rohidas, Ramnami, Satnami, Surjyabanshi,
Surjyaramnami, Ahirwar, Chamar, Mangan, Raidas / (Chattisgarh)
E-mail Address DRSMRITI19@ICLOUD.COM

Hobbies and Extra Curriculum Activities

Whether your name is same in all the YES


supporting documents/certificates
Photo Identity Card Pan Card Id Number ANFPB5174Q View Document

Contact Details
Permanent Address 230/19 ISPAT NAGAR RISALI BEHIND TWO TEMPLE PO CIVIC CENTRE BHILAI
DURG Chattisgarh India
Pincode :490006

Office(Landline) : -
Residence(LandLine): 0788-2271451
Mobile : 9981390820
Mailing Address 230/19 ISPAT NAGAR RISALI BEHIND TWO TEMPLE PO CIVIC CENTRE BHILAI
DURG Chattisgarh India
Pincode :490006

Office(Landline) : -
Residence(LandLine) : 0788-2271451
Mobile : 9981390820

Physically Challenged

Physically Challenged (PH) NO

Age Relaxation

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31/01/2019 ONLINE RECRUITMENT APPLICATION (ORA) PREVIEW

Age Relaxation NO

Fee Exemption

Fee Exemption SC

Educational Qualification(s)
Qualification Degree Subject Specialization University Duration Date of Division Degree Marksheet
Type / Mandatory / College From-To Notification of / Class
Subject Result / Issue Of
Final Marksheet
Medium Qualification Level Date of Degree Result
Type/
Result
Score
Essential MBBS mbbs medicine Guru Dec2001 28-08-2006 Ist View View
surgery obst Ghasidas - Jul2006
gynae University,
English Graduation- paediatric s Bilaspur 26-05-2009
Medical/Dental/Vet/AYUSH / Chhattisgarh Percentage
Institiute of / 66.6
Medical
Sciences
Essential MD Anaesthesi Anaesthesi AYUSH May2011 02-06-2014 View View
ology ology and HEALTH - May2014
critical care SCIENCES
English Post Graduation- UNIVERSITY 05-05-2015
Medical/Dental/Vet/AYUSH RAIPUR CG /
/ Pt J N M
Medical
college raipur

General Experience

1. Job Capacity/Post Held - senior resident

Kind of Experience - Teaching


Experience date: From 04-07-2014 To 03-07-2016

Worked at Supervisor level/Management level/ Head of branch - Management level


Field of Organistion/ Pay Scale Organisation/Institute Name Employment Nature of Duties Performed Documents
Experience(Major)/ Institute Type Type/Nature of
Specialization Appointment
Field of Last Salary Address of the
Experience(Minor)/ Drawn Organisation/Institute
Specialization Place of Posting

Anaesthesiology (Other State 65000 LT Atal bihari vajpayee Contract Basis Emergency duties paper View
Governments ) memorial med. coll. publication undergraduate
Govt rajnandgaon teaching
65000 pendri rajnandgaon
institute_address_li ne2
institute_address_li ne3
Rajnandgaon CG
2. Job Capacity/Post Held - Registrar

Kind of Experience - critical care medicine


Experience date: From 28-11-2016 To 31-05-2017

Worked at Supervisor level/Management level/ Head of branch - Management level


Field of Organistion/ Pay Scale Organisation/Institute Name Employment Nature of Duties Performed Documents
Experience(Major)/ Institute Type Type/Nature of
Specialization Appointment
Field of Last Salary Address of the
Experience(Minor)/ Drawn Organisation/Institute
Specialization Place of Posting

Critical care Pvt 62000 Manipal hospital bengaluru Temporary critical care emergencies View
medicine management
62000 HAL airport road
institute_address_li ne2
institute_address_li ne3
Bengaluru
3. Job Capacity/Post Held - Assistant professor

Kind of Experience - Teaching


Experience date: From 22-06-2017 To 31-01-2019

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31/01/2019 ONLINE RECRUITMENT APPLICATION (ORA) PREVIEW
Worked at Supervisor level/Management level/ Head of branch - Management level
Field of Organistion/ Pay Scale Organisation/Institute Name Employment Nature of Duties Performed Documents
Experience(Major)/ Institute Type Type/Nature of
Specialization Appointment
Field of Last Salary Address of the
Experience(Minor)/ Drawn Organisation/Institute
Specialization Place of Posting

Anaesthesiology (Other State 15600 to Lt shri Atal bihari vajpayee Permanent emergency duties teaching of View
Governments ) 39100 grade Memorial Med. Coll undergraduate students paper
Govt pay 7000 rajnandgaon publication
66200 govt medical college
institute_address_li ne2
institute_address_li ne3
Rajnandgaon
Total Experience General: 4 Years 1 Months 14 Days

Total Experience: 4 Years 1 Months 14 Days

Upload Documents
Not Available

Professional Registration/Enrollment
Kind of Registration/ Registration with Registration no./ Date of Registration/ Type Validity
Memebership/ Membership/ Membership/ Enrollment
Enrollment Enrollment from To

Allopathy Chhattisgarh Medical CGMC 1433 15-03-2016 Initial Life Time Life Time
Council
Allopathy Chhattisgarh Medical CGMC 1433 14-03-2008 Initial Life Time Life Time
Council

Recruitment Test Centre


First Preference Nagpur

Second Preference Kolkata

Payment Details
>
Fee Exempted

I understand that in the event of number of applications being large, commission will adopt Short Listing criteria to restrict the number of candidates to be called for interview to a
reasonable number, only from amongst eligible candidates by any or more of the following methods:
(a) On the basis of Desirable Qualification (DQ) or any one or all of the DQs if more than one DQ is prescribed
(b) On the basis of higher educational qualifications than the minimum prescribed in the advertisement
(c) On the basis of higher experience in the relevant field than the minimum prescribed in the advertisement
(d) By counting experience before or after the acquisition of essential qualifications
(e) By invoking experience even in cases where there is no experience mentioned either
(f) By holding a Recruitment Test

I also understand that if at any subsequent stage or at the time of interview any inofrmation given by the me or any claim made by me in my online application(s) is found to be
false, my candidature will be liable to be rejected and I may also be debarred either permanently or for a specified period by the :-
(a) Commission from any examination or selection held by them.
(b) Central Government from any employment under them.

I hereby declare that all the statements made in the application are true and complete to the best of my knowledge and belief.I understand that action can be taken against me by
the Commission if Iam declared by them to be guilty of any type for misconduct mentioned herein. I have informed my Head Office/Deptt. in writing that I am applying for this
selection.

Date: 31-01-2019

Signature of the candidate

Application No. 18107092885

ACTION AGAINST CANDIDATES FOUND GUILTY OF MISCONDUCT:


Candidates are warned that they should not furnish any particulars that are false or suppress any material information in filling up the application form. Candidates are also
warned that they should in no case correct or alter or otherwise tampered with any entry in a document or its attested/certified copy submitted by them nor should they submit
a tampered/fabricated document. If there is any inaccuracy or any discrepancy between two or more such documents or their attested/certified copies, an explanation
regarding this discrepancy should be submitted.

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31/01/2019 ONLINE RECRUITMENT APPLICATION (ORA) PREVIEW

A candidate who is or has been declared by the Commission to be guilty of:


Obtaining support of his/her candidature by any means, or
Impersonating, or
procuring impersonation by any person , or
submitting fabricated documents or documents which have been tampered with, or
Making statements which are incorrect or false or suppressing material information, or
Resorting to any other irregular or improper means in connection with his/her candidature for the selection, or
Using unfair means during the test, or
Writing irrelevant matter including obscene language or pornographic matter, in the script(s) , or
Misbehaving in any other manner in the examination hall, or
Harassing or doing bodily harm to the staff employed by the Commission for the conduct of their test, or
Bringing mobile phone/Communication device in the examination Hall/Interview room.
Attempting to commit or, as the case may be, abetting the Commission of all or any of the acts specified in the foregoing clauses may, in addition to rendering
himself/herself liable to criminal persecution, be liable:
(a) to be disqualified by the Commission from selection for which he/she is a candidate, and/or
(b) to be debarred either permanently or for a specified period:-
by the Commission from any examination or selection held by them
by the Central Government from any employment under them, and
(c) if he/she is already in service under Government to disciplinary action under the appropriate rules.

Candidates are not required to submit to the Commission by post/hand either the Printout of online Application or any other Documents/ Certificates at this stage. However,
candidate must send such documents as and when demanded by the Commission strictly within the stipulated timeframe, failing which their candidature may be rejected.

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