fem: afedace wrgeder, are anita dr age West itn (Haus feet fea) sracet $ Jo fefiext wet wma @S Syeus 3 Aeadt omgeétea aan, ufenrar fed sarGe wet ove out terol SS marhat iter atch are 1 BAS: | fers es saat er BM 2 esas fearar Bases -2 2 jem = | Buwae-2 3 wafeferrsten = | SaeeT-1 feast fefarrs 4 wenuetes fen Har | forges -1 (5 |atterstesr | auos-1 es Se- 1) Gas nmi ES saws Haw 15600-39100-5400 dst few efesaes negate, igre mits av ae The pion (das feet fea) $ Sens ws T warfeu wet 3 2) Hiatal. aan nignrs oe fefiost $ AH aE fete S Allied & da 3 at fifowr ater 3, fre far afew efor we Ste finite fer feo ast erace § renuetas fet fey sarfenr ar Meer O1 fet sgt afew wfersrr fared § 3a fefarra fed fee sarfenr Hr Ree oI 3) matbat nis de St mmedt fest 15 WIT 2019 1 4) marihat first 15/03/2019 EM 5 SAS Ufswt siedacs wegaeer, tT oo ga AE Boa cafes Bu, tory, hacs-11-st, Setar & veTe fet ude Teh waehat Tel AR SF eras Wus uae § Fe Afr AST | Noting 2018| APPLICATION FORM FOR LECTURER ON DEPUTATION IN GOVERNMENT AYURVEDIC COLLEGE PATIALA | A. SERVICE DETAILS: 1 Name 2. Service No. Category: General/SC/BC 3. Father's name 4, Date of Birth 5. Present place of posting, 6 Address: Office Add: Home Add: Phone No. (Mobile) Landline E-Mail: 7. Service particulars A. i) Date of joining as regular BAMS __ ii) Adhoc service from ___ to (Actual date to be given) iii) Regular service from to ivy) Whether Probation cleared or not Yes /No y) Date of Retirement .... ications i) BAMS (year of passing) ii) MD/MS (name of specialty and year of passing) Certified that particulars given above by me are true and correct to the best of my knowledge and belief and nothing has been concealed therein Place Signature of the applicant Date: Name No. Date B) Documents attached a) Detail marks certificate of BAMS professional examination b) ” MS/MD degree certificate, ©) A certificate from the Ayurvedic Medical Offficer as the case may be mentioning clearly the service rendered by the doctor in AMO on adhoc and regular basis.Particulars given above have been verified from the service record/ service book maintained in this office. SMO/District Ayurvedic & Unani officer CERTIFICATE TO BE ISSUED BY DIRECTOR OF AYURVEDA PUNJAB ‘This is further certified that the service particulars given above are correct an in case of selection of the Ayurvedic Medical Ofticer is likely to be relieved by the Secretary Health & Family Welfare, Punjab. Director of Ayurveda Punjab