Office of the Deputy Director of Health Services Directorate of Medical and Rural Health Services JN Road, Govt General Hopsital Campus, Thiruvallur 602 001

rt     t Photo புைகப்படம்

Application for the Post of COOK _yt v 

Name of the Applicant (Capital Letters) 

:

Father’s Name / Husband’s Name    /  

:

Sex (Male / Female / Transgender)  l  ( /  / tr  )

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Date of Birth p#  $

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Aadhaar ID Number (12 Digit) :   a & e (ir ) k+pv) Age (as on 01.07.2016) 01.07.2016 a-. t

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Community Name / Religion я ty-  / 1

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Community Category (SC/ST/MBC/BC/OC): я ty- i  Applied in which roster category e i c3c ot6k8 

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Type of Priority : e  y) m-:r1 < rk> $?

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SC [ ] SCA [ ] ST [ ] MBC / DNC [ BC [ ] BC Muslims [ OC / UR [ ]

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Destitute Widow [ ] Inter-Caste Marriage [ ] Ex-Service-man [ ] PwD [ ]

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Office of the Deputy Director of Health Services Directorate of Medical and Rural Health Services JN Road, Govt General Hopsital Campus, Thiruvallur 602 001

rt     t Address m r Communication Address  l m r

Telephone No.  B<c e

: Permanent Address nAA m r

Telephone No.  B<c e

Email address / m- DE) m r (F F eGt)  k+pv)

Employment Registration (if any) : <B Ip alB tv e (ir ) k+pv)

Educational Qualification (if any) Qualification p

)v kt (Lt ir ) k+pv) : Other details (if any) Year of Pass Marks <. vA Lt ir ) <Mc r 1t k+pv

_____ Std 10th Std 12th Std

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Office of the Deputy Director of Health Services Directorate of Medical and Rural Health Services JN Road, Govt General Hopsital Campus, Thiruvallur 602 001

rt     t Experience (if any) (Use additional sheets, if requies)  a: (Lt ir ) k+pv) : (Start from Latest…) Period 6 B

Post vy- 

Organization Name and Address n. t-  1. vB E

Details of Police Case pending against you : Yes / No. If, yes. Please mention details ) t#y) u $ mt 36k u$& ? List of documents enclosed herewith it- i6 P8$&  - vA Sl. Certificate Name Put  Sl. Certificate Name Put  No. Mark No. Mark th th 11 Priority Certificate 1 5 or 8 Std Certificate X 12 Computer Course 2 SSLC Mark Sheet th 13 Typewriting Tamil J / S 3 12 Std Mark Sheet 14 Typewriting Eng J / S 4 ITI Certificate 15 Shorthand Tamil J / S 5 Diploma Certificate 16 Shorthand Eng J / S 6 UG Degree Certificate 17 Ration Card / Aadhaar 7 PG Degree Certificate 18 Tech Certificate J/S 8 Transfer Certificate 19 LCE 9 Community Certificate 20 10 Experience Certificate

I hereby declared that all the above statements made in this application is true, complete and correct to the best of my knowledge and belief. In the event of any information being false or incorrect or ineligibility being detected before or after any test my candidature will stand automatically cancelled. <1
Signature of the Applicant v Ar-   

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Date  $

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Office of the Deputy Director of Health Services Directorate of Medical and Rural Health Services JN Road, Govt General Hopsital Campus, Thiruvallur 602 001

rt     t Applications are invited for Junior Draughting Officer (JDO) Post in Tamil Nadu Forest Department in Chennai Division - TN Govt Jobs Advt No. DIPR/84/Dis/2017/Tiruvallur

Advt date 26.05.2017

Last date 10.06.2017

Post : •

Cook (male / female) for Government Hospital - Salary as per government norms - Able to read / write in tamil ; knowledge in cooking

General Instructions : Help Line Telephone No. 044-27666620 Interested and eligible candidates may forward their application form along-with all necessary documents duly self attested to the following address on or before 10th June, 2017. The Deputy Director of Health Services Directorate of Public Health and Preventive Medicine Government General Hospital Campus, J.N. Road, Opp. to LIC, Thiruvallur 602 001 vtm# $: k+pP8$& )v kt 1. a: kt nB $ 01.06.2017 a-# <ty) ir6 <8. t Ap 01.07.2016 a-# <ty) 6k8. vp6 P $ Ltm)B. v A &6k v&6 $ Lt <- 044-27666620e-# e)  p  $&v. v Ar6k E1) EI rt ir6 <8. p P m)B.  ) eG 6  rtr6 <8.   ir Br vp6 B . vt- i6 8 a t   (Xerox Copy) cE -# m <8. v & a: < c <t 10.06.2017. a: < m r : B $ i i6k, <я.e-.
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Office of the Deputy Director of Health Services Directorate of Medical and Rural Health Services JN Road, Govt General Hopsital Campus, Thiruvallur 602 001

rt     t

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