OFFICE OFTHEMUNICIPAL COUNCILLORS OLDMALDA MUNICIPALITY,MALDA EMPLOYMENT NOTICE NO.O1lNUHM/OMM/2016, wremo ruo 3 Y /ruuHM/OMM/2016 E!'ID."1869 Datedthe06rhlanuary of2016 Applicaiions in the "Prescribed Format',are invitedfrom the citizenof distfictMaldafor recruitment to theundermentioned postsfor National UrbanHeatth Mission, OtdMaldaMunicipality, Malda. Nameofpogts 5l Monthly Consolidated Contfactual Qualification required forthe Minimum Age limitlason 0101,20161 The candidates Totat=02(Two) ClerkILDCIContractual 1 Rs.9000=00 i)uR=01 ii)SC-01 GradLrateand Knowledgeof C o m p u t e irn M . 5 .O f f i c ea n d lnternet. Total=02(Two) 2 Group-D Contractual 3 MedicalOfficer Contractual Rs.5000=00 i)SC=01 ii)UR=01 Rs.24,000=00 Totat=02(Two) G E N E R AI N L FORMATION: havepassed Madhyamik or MBBSp.ss 18years[Upper ageI mit asper existingGovt, rtiteS,l 18yearslupper agelimitas per existingGovt. rules.l 22yeats LUpperagelimit asper extsttng covt.rules.l 1) Howto applv:The candidate sholldapptyin the ,, prescrjbed Apptication Form,,only. The prescribed "Appljcation Form"will be available from websiteof the OtdMatdaMunicipality (wwwomm.ore.in) & (MaldaDistrict Website). 2 ) N o C a n d i d a t ies a l l o w e dt o a p p l vf o r m o r et h a n o n e p o s t . 3 ) T h e r a s td a t e f o r s u b m i s s i o n o f f l r i e di n A . o l i c a t i o nF o r m r2 0 , 0 12 0 1 6 i . e . n oA p p l i c a t i o nw i I b e r e c e i v e d upto4.00pmof 20 01-2016- 4J treatedasincomplete andsummarilv reiecred. Documents to be submittedi(i) photocopies of an certificares/Marks sheet (Academic& Technrcar and anyothef),proof of AgeandCaste.(Outy signedby the candidate/setf Attested) (ii)Two recenrColoured passport sizephotograph, one copvshoutdbe pastedin the Application Form(Dulysignedby the candidate).(iil) Oneselfaddressed (24cmX11cm) envetdpe with postage stampof Rs.40l,(Rupees Forty Onlv1. 6 ) Theenvelope, containing thedulyfilledin apptication atongwith the requifed documents shoutd besuper scribedby the wofds "Applicationfor Recruitment to the post of.........._.(name of the post apptiedfor),,. "Employment NoticeNo. 01/NUHM/OMM/2016 dated 6,hlanuary,2olS,cateSory of the candidate "SCIUR".(Please writethe appropriate wordon y). 7 ) The application alongwlth the fequireddocuments shoutdbe sent to the Chairman, Old Malda pin MLnicipaltty,Malda, District Matda, 732128 (W.B)bySoeedpostor shoutdbedropped in theBox,keot at th€ Monicipalitv bv thestipul.ted date.nd time. s) P a g1 eo f 2 8 ) M o d e o f s e t e d i o n :C a n d i d a t e s wi be sele interview through the Academic score @ 1:5 for vivavoce as wer as personaritytest. Howevef rlhe decisionof the selection committee will stand finar jn this respecr. 4l Chairman OldMaldaMunicipatity DategJ 9)J2016 y"moro-!fQ!ovvrzoro Lopyrorwardedfor informationandnecessaryactjon_ 1. TheDistricr MaSistrate, Matda[Heis fequestedto display the Noticeon his "NoticeBoafd" publicityl. for wide t ljiiilr";l"i,i,li,ffiested ' H:;il: 4. Ijllllion todisprav thematter onhisNotjce Board andalso tomake arrans€ment orricer,Nrc isrequested to takenecessary arransements to broadcast thematter T h e E x e c u r i v eE n g i n e e r _ M E D . M a l d a - -D i"''""'o"' visj, "Notice Board" fo;wrde pro,'.,iri. Mafket lHe is requested to displav the Notice on his 5. The Emp/oyment Exchange Officer-Distl A \Z Erchanse,rarda.[He is requestedto djsplaythe Notice onhis,,No.ice Boaro" r", *,o" or[,,t.,lTi'"tment Thetrec-t.veOtficer,Otd rMatda Munk;pdt,ty,Matda. lheCopyfor\or,ceBorrdofOJdMatda \,4unic,patJty,Mdlda. Page2 ofz {t OFFICE OFTHEMUNICIPAL COUNCIILORS OtDMALDA MUNICIPAIIry MATDA RECRUITMENT EXAMINATION FORNUHM,2O15 APPLICATION FORM [hd*r*, *rke No,orlNUHM/OMM/20151 ,.,--._ ot Applkation: l!5I€!9!119Pt tionJhe januatu2Otf --.____ the 20"' 2oiijanuary CAUTION. ROtl NO. {i)Thecandidateis advisedto fill Lrp a/t th e lrems correctiyin the Apprcairon Format and dlty fur.[ n atr the required panrcutars/documents ( i i ) l fa n y i t e m l s )o f r h e a p p t r c a t i oi sn. o n s j defed inapplicabte to the c E n 0 r d a thee, / s h es h o u t dw r i r e N o Ta p p L t c or lNA) asai,rstthe panrcurarrtem(s)and in lBl-E no c.se no iterno ' t h e a p p t i c a t i o n shoutd Spacefofpa5tjngrecent PHOTOGRAPH ron/oveturiting, if any should be accompaniedby 7 Nameof 2 Nameofthe Candidate (ln Blockreitefs) the applicationts not filtedin accr)rdancewirh the above s of any of the requhed documr rn$ rs not enctosediit ted as incomptete/defective and s - -;,;.: ,- FirstName 3 Father's / Husband,s Name 4 Dateof birth FirstName Surname MiddleName Month 4 (A) AgeasonOt.O1.20it PermanentAddress: PIN tne address for :--3gqlessior Co.nmL,ni.:r,. :ommunication in Jetailis to be givenin he appropriate box n BiockLetters, ;tate of the cafd dare;i; Surname I Mentionthe category to whichyou betong I 'Ticr,, 6 sc o8c 5T EC mark betow LPut I the.ppropriateboxl 7h) 8 UR of the Sub7(b)Religion ]Name casle Academic Qua,riicariont lAttestedphotocopies of ledifi€ates/Marks,she€r snou :_r,H:+*.!=r!fl:++E_. D o d r o/ l o u n c / t n s t t t u t i o n / Passing OBC-A OBC-B Er-Serviceman the apptication a l o n gw i t h o t h e r Totalnrarks obtained % of natks obtained -;;""'*';-l 9 Areyou enrployed?tfyes, pleasegjve rnoera s about ) ouf ernployment in th e box(below): Dateofjoining f -".-t*, wherh€rthe io remporaryor p€rn (i) (ii) Fulladdress of the employer 10 Iist ofdocumentsare to be enclo- st. t r r . r m a r KI n r h e t s o r ] NO No, (il 5t. {v) {iD Proofof academiceuatificarions (vu (iii) Proofof Caste& sub Caste (vr) (rv) Proofin supportofcateSo.yi.e. EC, EX-SM etc. Lopy or the EmptoymentExchant€ c a r d{ i f a n y ) rwo copjes of recent passport si.e photoSraphdutysign€d one setf add.essedenvetopeswith {v|x] rer$l|care ot experience(ifany) DECIARATION I solemnlydeclareth:t (a) a statementmade in docume,rswi,,beproduc"oono"."non,,",."'Jl'oi:lJT,.""lffii,;L":T::T ofthe selectionCommittee,constitutedfor old Malda Mun;cipatity may cancetmycandidaturear any trme i f l a m f o u n di n e l i E i b tfeo r a d m i r s i o n to the Examinanon, **t have informed the head of my offic€ or Depa.tment in writing that I am apptyingfor this Examination.[App cabteto thosewho are aheady€mployertan]$/here.ptease strikeout ifnor appticabtel I Dat€i : ---;;;;;;;;;;;;;il;";;;;; -- .:
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