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South Eastern Railway Recruitment 2015 - 2016 Apply for (Group-C) Various Posts Annex-A Application Format for Retired IRMS/ State Govt./Central Govt . Medical Officers Sub:-Engagement of Contract Medical Practitioner on S.E.Railway. Ref:- Advertisement No: dated: Staple two passport Size photograph duly signed Name (in block letters): Date of Birth Age as on 01.01.2015 Whether Age limit is within 65 years Permanent Address with PIN No PAN No Date of superannuation or VR Post held at the time of superannuation or VR Last pay at the time of superannuation or VR PBP & GP at the time of superannuation or VR Name of the Organization worked Basic Pension PPO No Nearest Rly. Station from the residence Communication No( Land /Mobile) E mail address Caste (Genl. SC; ST; OBC):- Medical Registration No Qualification Choice of posting, if any.
Full signature of the candidate & date Annex-B Application Format Sub:-Engagement of Contract Medical Practitioner on S.E.Railway. Ref:- Advertisement No: Category:- Full time Genl Duty/Part- time Dentist/ Full time Specialist. dated: Staple two passport size photograph duly signed Name (in block letters): Date of Birth Father’s/Husband’s Name Nationality/ Religion Age as on 01.01.2015 Caste (Genl. SC; ST; OBC):- Whether age within 50 yrs or within the age relaxation( 5 yrs for SC/ST & 03 yrs for OBC) Permanent Address with PIN No PAN No Nearest Rly. Station from the residence Communication No( Land /Mobile) E mail address Medical Registration No Academic Qualification with the name of Institution/University / year of passing/% of Marks Name of the Organization worked earlier, if any. Experience if any, after the graduation/Post Graduation Choice of posting (put three choices) 1 2 3 South Eastern Railway Recruitment 2015 – 2016 Full Details http://www.recruitmentinboxx.com/south-eastern-railway-notification-2016/1011/