0% found this document useful (0 votes)
38 views3 pages

Notification No. 5512/E1/DMHO/2025, Dated:17.06.2025 Basis For A Period of One Year

The Government of Telangana has issued a notification for the recruitment of Medical Officers in Urban Primary Health Centers (UPHCs) under the National Urban Health Mission (NUHM) on a one-year contract basis. The application form requires personal details, educational qualifications, and necessary certificates for verification. Candidates must submit required documents, and failure to do so will result in application rejection.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
38 views3 pages

Notification No. 5512/E1/DMHO/2025, Dated:17.06.2025 Basis For A Period of One Year

The Government of Telangana has issued a notification for the recruitment of Medical Officers in Urban Primary Health Centers (UPHCs) under the National Urban Health Mission (NUHM) on a one-year contract basis. The application form requires personal details, educational qualifications, and necessary certificates for verification. Candidates must submit required documents, and failure to do so will result in application rejection.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Government of Telangana

Notification No. 5512/E1/DMHO/2025, Dated:17.06.2025


Recruitment for the post of Medical Officer in UPHCs under NUHM on contract
basis for a period of one year
Application Form

Registration No
Post for which
Application made
District for which
applied

1 Name of the Candidate


2.a Father’s Name
2.b Mother’s Name
2.c Husband Name (If married)
3 Sex (Please tick) Male Female
4 Date of Birth
5 Social Status ( OC / BC-A / BC-B /
BC-C / BC-D /BC-E /SC-Gr I,II,III / ST )
5.a Local Status Local Non-local
6 Whether Physically Handicapped Yes / No
(Please Tick)
6.a If yes, please mention category (Please HH / OH / VH
tick)
7 Whether Ex-Service man/woman Yes / No
Details of school education

Class Year of passing District in which studied


IV
V
VI
VII
VIII
IX
X
District to which candidate belongs as per presidential order
Educational Qualification

Qualification Year of passing Name of the College /University

Marks obtained in the qualifying examination

Qualifying Max.Marks Marks Obtained % of marks obtained


examination

Address Particulars

Name
Father/Mother/Husband’s Name
House No.
Street
Village / Town
District
Pin
Mobile / Contact No.
Declaration

I, ____________________________________________________________________ W/o ,
D/o Sri________________________________________________________ Certify that , the
above particulars funirshed by me are correct to the best of my knowledge. I also agree that, in
the event of any of the particulars furnished in my application being found to be incorrect or false
at a later date my candidature will be cancelled summarily.

NOTE : If any candidate fail to submit the required certificates Xerox copies as per the notification
guidelines their application shall be rejected. No further representation will be entertained.

Name and Signature of the Candidate


ACKNOWLEDGEMENT
01 SSC/Dated of Birth Certificate issued by the competent authority of the
Government, for proof of Age
02 Intermediate or 10+2 examination
03 Qualifying examination pass certificate
04 Marks Memos of all the years (qualifying examination)
05 Registration Certificates of respective Councils
06 Latest Community Certificate/EWS Certificate/Ex-Service
Men/NCC/Physically handicapped, whichever is applicable issued by the
competent authority( SC aspirants should produce latest caste certificate
as per the recent SC categorization & Subclassification)
07 Study Certificates for the years from 1st to 10th & incase of private study
residence certificate from the Tahsildar by MRO concerned to be
submitted
08. PH Certificate in respect of candidates claiming reservation under PH
quota
09 Relevant Certificates in respect of candidates claiming Ex-Service Men
quota
10 Registration Certificate from the concerned Medical Council/Nursing
Council/Paramedical Board/Other relevant authority

Signature of the Clerk

You might also like