NO.23-2/NS/SN-Rectt.-/2017/

Govt. of India

Directorate General of Health Services

LADYHARDINGEMEDICALCOLLEGE & SMT.S.K.HOSPITAL

NEW DELHI

Dated: //i1/2o17

NOTICE

The following Candidates declared as eligible and found medically fit by

the Medical Board for the Appointment to Post of Nursing Officer [Staff Nurse]

regular basis at LHMC & SSKH:-

Sr.No. Roll no Rank Name of the candidate

1. 200411 30 Ms. Stephy Gareeshma P.

2. 217629 47 Mr. Manish Kumar

Sharma

3. 217257 51 Mr. Nithish Thomas

4. 216885 59 Mr. Pawan Kumar Gour

5. 201459 73 Mr. Rajendra Kumhar

6. 225070 77 Mr. Rejin R.V.

7. 219967 98 Ms. Shajina V.

8. 214512 107 Mr. Mukesh Nath

9. 200184 121 Ms. Saroj

10. 206419 127 Mr. Sal. R.L.

11. 218348 129 Mr. Pradeep Singh

12. 215201 160 Mr. Aneesh. P

13. 208114 163 Mr. Shameer

14. 224031 174 Ms. Priyanka

15. 201135 177 Mr. Vishnu.V.Kurup

16. 223130 184 Ms. Bincy K. Raju

17. 209091 197 Mr. GovindKumawat

18. 219223 206 Mr. Satyendra Singh

19. 206743 231 Mr. Vishnu Vijayan

20. 205150 235 Mr.Sudhanshu Sharma

21. 200675 247 Ms. Gargi Krishnan

22. 226091 248 Ms. Saranya.B

23. 223204 251 Mr. Rakesh Kumar 24. 216011 262 Mr. JishnuPrasad.S

25. 205642 265 Mr. Maherider Panwar

26. 225999 286 Mr. Anand Shanavas

27. 208260 287 Mr. Jeetendra Kumar

Vadav 28. 214258 307 Ms. Princy Varghese

29. 201598 311 Mr. Shrawan Kumar

Prajapat

30. 226962 312 Mr. Subhod Singh Hada

31. 227204 315 Mr. Rajveer Singh Choudhary

32. 215650 317 Ms. Rajimol N.R

33. 203111 325 Ms. Anjali Krishna.K

34. 227786 343 Mr. Nahas.T 35. 214818 358 Ms. Savitameena

36. 219164 356 Mr. Aneesh M S

37. 222486 380 Mr. Bhupendera Vadav

38. 204533 390 Ms. Binsiya P

39. 223468 410 Mr. Vimal Das M

40. 201724 450 Ms. Priyankavadav

41. 225102 459 Mr. Krishan Murarliangid

42. 217668 462 Ms. Anbu Mozhi S.

43. 205946 481 Mr. Ram Kumar Bajia

44. 226997 491 Mr. Mukesh Kumar

D ha ka r

45. 211432 498 Mr. RanjithTA

46. 227167 508 Ms. Alelin Simendi

47. 217435 514 Mr. Rajesh Prajapati

48. 207570 599 Mr. Netram Saini

49. 222116 621 Ms. Rina

50. 214211 622 Mr. Mehandra Kumar Regar

51. 215511 633 Mr. SohanLal

52. 225398 640 Mr. Manoj Kumar. M.S.

53. 225410 646 Mr. Syam S.C.

54. 220054 648 Ms. Sabna C.S

55. 211519 665 Mr. Fahad C.K

56. 215535 748 Mr. Sonu Ram Bairwa

57. 210778 756 Mr. VijendraBairwa

58. 207036 1011 Mr. Rakesh Meena

59. 225347 1186 Ms. Veineinem Lhouvum

60. 203821 1295 Mr. Narendra Kumar

Verma

61. 217532 1461 Mr. Ameet Kumar Bairwa

62. 204830 1462 Ms. Manoji Kumari Meena

63. 203964 1514 Mr. Sher Singh Looniwal

64. 208690 1544 Mr. Ghansyam Raigar

65. 227040 1595 Mr. Vijay Singh Meena

66. 218526 1660 Mr. Rakesh Kumar Meena

67. 223292 05 Ms. Rash ml Kadyan

68. 213862 43 Mr. Greenu George 69. 202367 67 Ms. Jessilin Mary Joy 70, 211875 78 Ms. Cincy Jacob 71. 216505 337 Ms.Asha 72. 216840 589 Ms. Anju 73. 226670 1076 Ms.Vineeta Raj

The above Candidates may collect their Appointment letter by hand

from the convocation hail on 17.11.2017 at 09:00 AM. If they do not collect the

Appointment Letter on stipulated date and time, the offer of Appointment will be

sent by post.

The candidates should bring all the original documents/duly filled

forms, as mentioned in the offer of appointment. If they bring all the documents

and found eligible in all respects, they will be allowed to join on the same day.

C::~ Administrative Officer

SELF DELARATION

.......... hereby declared that in case character &

antecedents is found not verified or any false information is given by

me in self-declaration or otherwise, the provisional appointment letter

will be cancelled by competent authority of LHMC & SSKH and other

criminal/ legal action will also be taken against me.

Dated:-

Sign:

Name:

Designation:______________________

Rank:

To

The Administrative Officer,

LHMC & 5510-1

New Delhi.

Sub:- Leave Travel Concession to Government Servant - Declaration of 'Home Town'.

Sir,

In accordance with MHA O.M. 43/1/55-Estt. (A) pt. 11 dated 11.10.1956, on the above subject, I submit my 'Home Town' declaration and request that may be accepted as 'Home Town' as the place where I would normally reside but for my absence from such station for service under Government for the following reason:-

(1) My physical presence is required there at intervals for discharging various domestic and social obligations @ and after entry into service, I have been visiting my 'Home Town' frequently.

(2) 1 own/my own residential property at -

(3) My nearest relations are residents of that place. (4) Prior to my entry into Govt. service, I was living there for __________ years.

Yours faithfully,

Dated:-

DECLARATION OF "HOME ADDRESS" FOR THE PURPSE OF

TRAVEL CONCESSION DURING REGULAR LEAVE

I HERE BY RECLARE THAT, FOR THE PURPOSE OF travel Concession my permanent home address Is as under

Shri (Relationship)

Signature

Designation

LADY HARDINGE MEDICAL COLLEGE & SMT. S. K. HOSPITAL New Delhi-110001

PERSONAL DATA

1. Name in Full: (in Block Letter)Mr./Ms

2. Name of Father or Mother: (in Block Letter):

3. Name of Mother: (In Block Letter):

4. Name of the Spouse, if_ married( _in_ Block _Letter):

5. Nationality: (if not, a citizen of India, Number&_ Date of eligibilityCertificate)

6. Whether a member of Scheduled Caste/ Scheduled Tribe/OBC (Specify):

7. Date of Blrth(DD-MM-YVVY):

8. Education Professional &

Technical Qualification: 9. Date of Initial Appointment:

10. ______

Exact height measurement in meters(wlthout shoes):

11. Personal Marks of Identification:

12. Permanent Home Town Address:

13. Residential Address:

14. Mobile No.

15. e-mail ID

16. Permanent Address

17. Address for Correspondence

Certify that the above information Is correct to the best of my knowledge and belief.

Signatures...........................................

Designation........................................

Date (DD-MM-YYYY)..........................

FORM OF OATH/AFFIRMATION

I t

do swear/solemnly affirm that I will be faithful and bear true allegiance to India

and to the Constitution of India as by Law established, that I will uphold the

sovereignty and integrity of India, and that I will carry out the duties of my Office

loyally, honestly and with impartially.

Read and Signed_________________________

Name

Date

ATTESTED

ADMINISTRATIVE OFFICER

DECLARATION OF MARITAL STATUS

I, Shri/Smt./Km. — declare as under:

(I) That I am married/a widower/a widow.

(ii) That I am married and have only one spouse living.

(iii) That I have entered or contracted a marriage with a person having spouse

living. Application for grant of exemption is enclosed.

(iv) That I have entered onto and contracted a marriage with another person

during the life time of my spouse. Application for grant of exemption is

enclosed.

I solemnly affirm that the above declaration is true and I understand that in the

event of the declaration being found to be incorrect after my appointment, I

shall liable to be dismissed from service.

Signature of the Government Servant

Date:

Note: * Please Delete clauses not applicable.