NOTIFICATION

GOVERNMENT OF ANDHRA PRADESH

HEALTH MEDICAL & FAMILY WELFARE DEPARTMENT
DIRECTOR OF MEDICAL EDUCATION
GOVERNMENT MEDICAL COLLEGE/GOVERNMENT GENERAL HOSPITAL/
GOVT. NURSING COLLEGE, ELURU, ELURU DISTRICT.
(DRAFT NOTIFICATION NO: 01/A2/GMCE/COMBINED RECRUITMENT/2023,DATE : .11.2023)
------------------------------------------------------------------------------------------------------------------------------
Combined Notification No. 01/A2/GMCE/COMBINED RECRUITMENT/2023, DATE : .11.2023
For filling up of the various posts in Health Intuitions of Eluru on Contract/Outsourcing basis
in Government Medical College/Government General Hospital (Teaching Hospital) and
Government Nursing College under DME Control in Eluru District

1. G.O.Ms.No.188 Health Medical&Family Welfare[D1]Dept.,

Dt.15.07.2022.
2. G.O.Ms.No.199, Health Medical&Family Welfare [A1]
Dept. Dt.22.07.2022.
3. G.O.Ms.No.174 Health Medical&Family Welfare [E1] Dept.
dt.04.10.2023.
4. Rc.No.2216683/P2/2023, Dt.26.10.2023 of the Director of
Medical Education, AP, Vijayawada.
5. This office letter Rc. Even No. dt.27.10.2023 addressed to
the Superintendent, GGH, Eluru and Principal, Nursing
College, Eluru.
6. From the Superintendent, GGH, Eluru vide
Rc.No.1583/A2/GGH/ELR/2023, Dt.31.10.2023 along with
vacancy position.
7. From Principal i/c. Govt. College of Nursing,Eluru vide Letter No. Nil,
Dt.30.10.2023 alongwith vacancy position.
--o0o--

1. Applications are invited from eligible candidates for recruitment to various posts in health
institutions of Eluru and erstwhile West Godavari District under the control of the Nursing
College, Principal Govt. Medical Colleges, and Superintendents of Government General
Hospitals in erstwhile District of West Godavari on Contract/Out sourcing basis.
a. Proforma of application will be available on the portal
[https://eluru.ap.gov.in and https://westgodavari.ap.gov.in] from 10:30 A.M on
.11.2023 to 05:00 PM on .11.2023.
b. Last Date for submission of physical applications is 05:00 PM on
.11.2023. Filled in applications shall be submitted in the specified counters in Office of
the Principal, Govt. Medical College, Eluru of the erstwhile district of West Godavari.
Candidates are advised to apply as soon as possible without waiting till last date to avoid
last hour rush. They are further advised to obtain dated acknowledgement from the
receiving authority, in proof of their submission of application.
c. District Jurisdiction for this recruitment is erstwhile district only and the vacancies at
health facilities in these district boundaries shall be considered to be filled. Hence
candidates shall apply to the respective erstwhile districts only.
d. The Merit List of this notification is valid for one year for the purpose of filling up of
arising vacancies if any.
The number of vacancies is provisional and likely to increase or decrees as per the need of the
Department
UNDER THE CONTROL OF GOVT. MEDICAL COLLEGE, ELURU:

Sl. Name of the No. of Method of Mode of

Remuneration
No. Cadre/Category Vacancies Appointment Recruitment
01 Store Keeper 03 DSC Outsourcing 18500
Physical
02 Educational 01 DSC Contract 40970
Trainer [PET]
Computer
03 01 DSC Contract 34580
Programmer
Electrical
04 01 DSC Outsourcing 15000
Helper
Office
05 09 DSC Outsourcing 15000
subordinate
Mortuary
06 02 DSC Outsourcing 15000
Attendant

UNDER THE CONTROL OF THE SUPERINTENDENT, GOVT. GENERAL HOSPITAL, ELURU

[TEACHING HOSPITAL]:

Sl. Name of the No. of Method of Mode of Remuneration

No Cadre/Category Vacancies Appointment Recruitment
01 Radiographic 01 DSC Contract 35770
Technician
02 Cardiology Tech. 03 DSC Contract 37640
03 Child 01 DSC Contract 54060
Psychologist
04 Computer 01 DSC Contract 34580
Programmer
05 Electrical 02 DSC Outsourcing 15000
Helper
06 Emergency 26 DSC Contract 37640
Medical tech
07 General Duty 18 DSC Outsourcing 15000
Attendant
08 Lab Attendant 03 DSC Outsourcing 15000
09 Lab tech. 04 DSC Contract 32670
10 Net work 01 DSC Contract 34580
Administer
11 Office 14 DSC Outsourcing 15000
subordinate
12 OT Technician 01 DSC Contract 22460
13 Psychiatric 02 DSC Contract 38720
social worker
14 Speech 01 DSC Contract 40970
Therapist
15 Store Attendant 01 DSC Outsourcing 15000
16 System 01 DSC Contract 34580
Administrator
17 Clinical 01 DSC Contract 54060
Psychologist
 UNDER THE CONTROL OF THE PRINCIPAL, GOVT. COLLEGE OF NURSING. GGH PREMISES, ELURU:

Sl. Name of the No. of Method of Mode of Remuneration

No. Cadre/Category Vacancies Appointment Recruitment
01 Junior Assistant/ 02 DSC Outsourcing 18500
Junior Assistant
cum Typist
[Female]
02 Warden [Female] 02 DSC Outsourcing 18500
03 Office subordinate 02 DSC Outsourcing 15000
[Female]
04 Sweeper [Female] 03 DSC Outsourcing 15000
05 Lab 01 DSC Outsourcing 15000
Attendant[Female]

TABLE SHOWING THE CONSOLIDATED VACANCIES IN ALL THE ABOVE

3 INSTITUTIONS OF GOVERNMENT MEDICAL COLLEGE, ELURU.
No.of Vacancies Metho
d
Sl. Mode of
Govt. Govt. Govt. Of Remune-
No Name of the Post Recruit-
Medl. General Nursing Total appont ration
. ment
College Hospital College -
ment
Outsourc
01 Store Keeper 03 0 0 03 DSC 18500
ing
Physical
02 Educational Trainer 01 0 0 01 DSC Contract 40970
[PET]
Computer
03 01 01 0 02 DSC Contract 34580
Programmer
Outsourc
04 Electrical Helper 01 02 0 03 DSC 15000
ing
Outsourc
05 Office subordinate 09 14 00 25 DSC 15,000
ing
Office subordinate Outsourc
06 0 0 02 02 DSC 15,000
( Female) ing
Mortuary Outsourc
07 02 0 0 02 DSC 15000
Attendant ing
Radiographic
08 0 01 0 01 DSC Contract 35770
Technician
Cardiology
09 0 03 0 03 DSC Contract 37640
Technician
10 Child Psychologist 0 01 0 01 DSC Contract 54060
Emergency
11 0 26 0 26 DSC Contract 37640
Medical Technician
General Duty Outsourc
12 0 18 0 18 DSC 15000
Attendant ing
0 Outsourc
13 Lab Attendant 0 03 04 DSC 15000
ing
Lab Attendant Outsourc
14 0 0 01 01 DSC 15000
(Female) ing
15 Lab Technician 0 04 0 04 DSC Contract 32670
 Net work
16 0 01 0 01 DSC Contract 34580
Administrator
17 OT Technician 0 01 0 01 DSC Contract 22460
Psychiatric social
18 0 02 0 02 DSC Contract 38760
worker
19 Speech Therapist 0 01 0 01 DSC Contract 40970
Outsourc
20 Store Attendant 0 01 0 01 DSC 15000
ing
System
21 0 01 0 01 DSC Contract 34580
Administrator
Clinical
22 0 01 0 01 DSC Contract 54060
Psychologist
Junior
02 Outsourc
23 Assistant/cum 0 0 02 DSC 18500
ing
Typist (Female)
02 Outsourc
24 Warden (Female) 0 0 02 DSC 18500
ing
03 Outsourc
25 Sweeper (Female) 0 0 03 DSC 15000
ing
TOTAL 17 81 10 108

2. RESERVATIONS.
i. Reservations are applicable as per Rule 22 of AP State and Subordinate Services Rules
and instructions issued from time to time including BC,SC and ST reservations.
ii. Reservations to woman will be as per General Rule 22-A[G.O.Ms.No.41,WD&CW [Estt]
Dept. dated 01.08.1996, G.O.Ms.No.63 GA[Ser.D]Dept, dt.17.04.2018 & instructions
issued from time to time.
iii. Presidential order is applicable as per GO Ms No.674: GA [SPF.A] dept., dated:
28.10.1975, GO P No.763 GA[SPF.A] Dept dated 15.11.1975 read with G.O.Ms.No.8
GA [SPF.A] dept. dated 08.01.2002.
iv. Reservations to Differently abled persons is applicable as per G.O.Ms.No.2
Department for WCDA & SC [Prog.II] dt.19.02.2020.
v. Reservations for economically weaker sections will be as per G.O.Ms.No.73 GA
[Services-D] Dept. dt. 04.08.2021
vi. Reservations for ex-servicemen are applicable as per rules in force.

3. EDUCATIONAL (ACADEMIC, PROFESSIONAL, TECHNICAL) QUALIFICATIONS,

NATURE OF APPOINTMENT AND REMUNERATION TO VARIOUS POSTS:

The Candidate should possess prescribed academic/technical/professional

qualifications for the post they are applying for as on the date of this notification [which will
be taken for reckoning weightage for contract/ outsource/ honorarium service and for
waiting period weightage after completion of academic/technical/professional qualifications
as applicable].

If the applicant possesses an equivalent qualification to prescribed qualification in this

notification, applicant shall enclose a copy of the Government orders to that effect to the
application, failing which their application will be rejected.
Sl.N Name of the Post Educational Qualifications
o.
01 Store Keeper 1. Must have passed any Bachelor’s Degree from
Recognized University, Must have worked as store
clerk in any Govt. Dept. for at least 2 years.
02 Physical Educational 1. Must have passed Diploma or Bachelor’s Degree
Trainer [PET] in Physical Education from a recognized
Institution/University.
03 Computer i. B.E/B.Tech. in IT/CS [OR]
Programmer ii. MCA [OR]
iii. Post Graduate in Computer Science/IT
and
Experience: Minimum 3 years experience as
computer programmer in Government / Private
sector.
04 Electrical Helper 1.Must have passed SSC/10th Class or its equivalent
from a recognized Board.
2. Must possess ITI certificate in the Electrical trade
recognized by the Government.
05 Office Subordinate Must have passed SSC or its equivalent.
06 Mortuary Attendant Must have passed SSC or its equivalent.
07 Radiographic 1. Must have passed Intermediate or its
Technician Equivalent examination recognized by Govt.
Of A.P.
2. Must have Diploma in Radiographer [or]
X-Ray Technician or B.Sc.[ Radiographer or
X-Ray Technician] from any recognized
University with Physics as main Subject.
3. Must be registered in APPMB.
08 Cardiology 1. B.Sc. Degree from a Recognized University with 2
Technician years Diploma in Cardiology technician with 2 yeas
Diploma in Electrocardiography from a Recognized
Institution [or] B.Sc. in Cardiovascular Technology
from a Recognized Institution.
2. Must be registered in APPMB.
09 Child Psychologist 1. Must possess a Degree of M.A [Psychology] of a
University in India established or in corporate by or
under Central Act, Provincial Act or a State Act or an
institution recognized by the University Grants
Commission (UGC) or an equivalent qualification.
2. Must possess a P.G. Diploma in Child Psychology
and a family relation of a University recognized by
University Grants Commission or a M.Ed., from a
recognized institution.
(As per G.O. Ms. No. 406, HM&FW(M2) Dept., Dt.
25-11-2008)
10 Emergency Medical 1. Must possess Intermediate or its equivalent.
Technician (EMT). 2. Must possess B.Sc. Emergency Medical
Technology/ B.Sc Emergency Medical Services
Technology [EMST] from a recognized
Institution in India.
3. Must be registered in APPMB.
11 General Duty Must have passed SSC/10th Class or its equivalent
Attendant (GDA) from a recognized Board.
12 Lab-Attendant (LA) 1. Must have passed SSC/10th or its equivalent.
2.Must possess Lab Attendant Course or
Intermediate [Lab Attendant Vocational Course]
conducted by the Board of Inter Education, AP or
from any other institution recognized by the Govt. of
AP.
13 Lab-Technician (LT). 1.Must possess DMLT or B.Sc.[MLT]
2. If Intermediate [VOC] with one year
Apprenticeship in Govt. Hospitals.
3. Must be registered in APPMB.
4. In case of candidate possess both DMLT and
B.Sc (MLT),the maximum percentage secured
in any of the above shall be considered.
14 Net work i. B.E./B.Tech in IT/CS/ECE [or]
Administrator ii. MCA [or]
iii. Post Graduate in Computer Science/IT
and
Experience: Minimum 3 years experience as System
administrator in Government/Private sector.
15 Office subordinate Must have passed SSC or its equivalent.
16 OT Technician 1. Must possess Diploma in Medical Sterilization
Management & Operation Theatre Technician.
2. Must be registered in APPMB.
17 Psychiatric Social 1. M.A. /M.S.W degree in Medical Psychiatric Social
Worker Work.
2.M.Phil Psychiatric Social Work/Ph.D
18 Speech Therapist 1. Must possess a Bachelor degree of B.Sc. 1st
and 2nd class in any University under Central
Act, Provincial Act or a State Act or an
institution recognized by the University
Grants Commission (UGC) or an equivalent
qualification.
2. Diploma in Speech Therapy or Certificate in
Speech Therapy in any recognized University.
19 Store Attendant Must have passed SSC or its equivalent.
20 System i. B.E./B.Tech. in IT/CSE [or]
Administrator ii. MCA [or]
iii. Post Graduate in Computer Science/IT
and
Experience: Minimum 3 years experience as System
administrator in Government/Private Sector.

21 Clinical Psychologist 1. Must possess D.M. [Clinical Psychology] with

Two years special training in clinical
Psychology.
 22 Junior Assistant/ 1. Must possess any Bachelor’s Degree of
Junior Assistant cum University under Central Act, Provincial Act
Typist or a State Act or an institution recognized by
the University Grants Commission (UGC) or
an equivalent qualification.
2. Must have passed the Government
Technical Examination in Type writing by
the Higher in Telugu and English.
3. With DCA (Computers) issued by Board Of
Technical Education, A.P. (or) PGDCA
(Computers) issued by the any University
under Central Act, Provincial Act or a State
Act or an institution recognized by the
University Grants Commission (UGC).
23 Warden (Female) Must possess Bachelor’s Degree with B.Ed.
24 Sweeper(Female) 1. Must have passed 7th class
2. Must be able to read and write
“Telugu or Urdhu or English or Hindi”.

4. AGE: Upper age limit is 42 years. Age will be reckoned as on date of issue of notification as
per G.O.Ms.No.105 GA [Ser-A] Dept. dated 27.09.2021 with relaxations as applicable.
Relaxations will be as follows:
a. For SC, ST, BC and EWS candidates: 05 [Five] years.
b. For Ex-Service Men: 03 [Three] years in addition to the length of service in armed forces.
c. For differently abled persons: 10 [Ten] years.
d. Maximum age limit is 52 years with all relaxations put together.

5. FEE: Applicant must enclose a demand draft towards application processing fee in favour of
the Principal, Govt. Medical College, Eluru District [ if candidate is eligible for more than one post
is required to enclose demand draft for each post and apply for each post separately] as given
below.

a. For OC candidates ………………….=Rs.250/-.

b. For SC/ST/BC/EWS/Physically Challenged candidates = Exempted.

6. METHOD OF SELECTION:

a. Total Marks: 100

b. 75 % will be allocated for aggregate of marks obtained in all the years in qualifying
examination or any other equivalent qualification.
c. Up to 10 marks @ 1.0 mark per completed year after acquiring requisite Qualification as
mentioned in the pass certificate. Weightage will be reckoned up date of notification as per
Govt. Memo No.4274/D1/2013, HM&FW [D1] Dept., dt.10.07.2014.
d. Weightage up to 15 % will be given to the candidates working on
Contract/Outsourcing/Honorarium basis including COVID-19 service as
Shown below subject to their satisfactory service certified by the competent
authority, as per GO Ms.No.211, HM&FW[B2] Dept., Dt. 08.05.2021,
GO.Rt.No.573 HM&FW [B2] Dept. Dt. 01.11.2021
Govt. Memo.No: 3740784/B2/2020 of HM&FW (B2) Dept. Dt. 14-02-2022 and
GO.Rt.No.07 HM&FW [B2] Dept., dt. 06.01.2022, Circular No.03/CHFW/2022,
of CHFW, AP, dated.11.02.2022. If any individual work less than 6 months for
COVID, the weightage shall be 0.8 marks per completed month will be awarded.
e. Weightage to contract employment based on working area:
[i] @ 2.5 marks per six months in Tribal Area
[ii] @ 2.0 marks per six months in Rural Area
[iii] @1.0 marks per six months in urban areas
[iv] No weightage will be given for the services less than six months for
Non-COVID services.
f. The COVID -19 weightage shall be applicable only to the persons who have rendered their
services for COVID-19 on Contract/Outsourcing/ Honorarium basis and are appointed by
the District Collector or any other competent authority based on orders issued by
Government from time to time and certified by the controlling officers
[DMHE/DCHS/PRINCIPAL OF GMS/SUPERINTENDENT OF GGH] to that effect.
[Note: Certificates taken earlier are valid. If additional period of service is there, fresh
certificate to that effect shall be obtained and enclosed].
g. The candidates claiming service weightage shall submit original
contract/outsourcing/Honorarium service certificate in the enclosed proforma issued by
competent authority along with copy of appointment orders. Applications without the
service certificates as prescribed above will not be considered for service weightage.
[Note: Certificates taken earlier are valid. If additional period of service is there, fresh
certificate to that effect shall be obtained and enclosed].
h. Contract service will be reckoned up to the date of notification as per
Govt.Memo.No.4274/D1/2013, HM&FW [D1] Dept. dt.10.07.2014.

1. TENURE OF APPOINTMENT AND IMPORTANT CONDITIONS:

The tenure for the contract/outsourcing posts initially one year from the date of joining
in the post and may be extended for further period as per the instructions issued by the
Government from time to time.

The District Selection Committee reserves all the rights to terminate the
contract/outsourcing services of any candidate/ candidates at any time without any time
prior notice or as per directions of the Government from time to time.

2. ALL COPIES OF THE CERTIFICATES SHALL BE ATTESTED BYANY GAZETTED OFFICER AND
THE SAME COPIES SHALL BE ENCLOSED TO THE FILLED INAPPLICATION:

a. SSC or its equivalent [for date of birth].

b. Pass certificates of qualifications prescribed for the posts concerned.
c. Proof of appearance for the qualifying examination where ever applicable.
d. Marks memos of all years of qualifying examination or its equivalent. In the absence
of marks memos, marks will be calculated as per rules in force.
e. Valid certificate of registration in A.P. Para Medical Board/Allied Health Care sciences/
any other council constituted under the relevant rules for specific courses where ever
applicable.
f. Study Certificates from class IV to X from the school where the candidate studied. In
case of private study local candidature certificate for that particular 7 years period
preceding to the year of passing X class from competent authority in Form Appendix I
certificate of residence prescribed vide Sub clause [ii] of clause [a] of para 7 of the
Presidential Order [proforma is herewith enclosed]. Candidates migrated from
Telangana shall submit certificate of Local candidature as per GO No.132 & 133 dt.
13.06.2017. In the absence of the suitable certificate, the candidate will be considered
as non local and further action will be as per rules in force.
g. Copy of valid caste certificate,. In case of non submission of valid caste certificate, the
candidate will be considered as OC.
 h. Latest EWS [EconomicallyWeaker Sections] certificate issued by the competent
authority in case of the EWS categories.
i. Certificate of disability issued in SADAREM.
j. Service certificate from the controlling officer concerned [DM&HO/DCHS/Principals of
GMCs/Superintendent of GGH/Any competent authority who appointed the
applicant] for claiming weightage for Contract/outsourcing/honorary service, in the
absence of which the candidate will not be given service weight age [proforma is
herewith enclosed].
k. Any other certificates as relevant and applicable.

Note: Candidates must submit clear, visible documents [a to k of para.8], failing which
application will be summarily rejected. Applications without the above documents will be
summarily rejected.

9. IMPORTANT INFORMATION TO CANDIDATES.

a. If selected he/she should stay at the bonafide Head Quarters compulsorily.

b. If selected and appointed he/she shouldabide by the Government rules in force
regularly from time to time.
c. Candidates are advised to follow official website of the District from time to time for
further information.

10. DEBARMENT:

a. Candidates should make sure of their eligibility to the post applied for and that
the declaration made by them in the format of application regarding their
eligibility in all aspects. Any candidate furnishing in-correct information or
making false declaration regarding his/her eligibility at any stage or suppressing
any information is liable to be debarred from recruitment conducted by the
department and summarily rejection of their candidature for this recruitment &
future recruitment.
b. The department is vested with duty of conducting recruitment and selection as
per rules duly maintaining utmost secrecy and confidentiality in this process and
any attempt by any one causing or likely to cause breach of this duty in such
manner or such action as to violate or likely to violate fair practices followed and
ensured by the department will be sufficient for rendering such questionable
means ground for debarment.

11. DEPARTMENT’S DECISION TO BE FINAL.

a. The decision of the department regarding acceptance or rejection of the candidature,

conduct of counseling and at all consequent stages culminating in the selection or
otherwise of any candidates shall be final in all respects and binding on all concerned
under the powers vested with. The department also reserves its right and modify
regarding time and conditions laid down in the notification for conducting the
various stages up to selection duly intimating details thereof to all concerned as
warranted by any unforeseen circumstances arising during the course of this process.

b. All interested and eligible candidates shall apply after satisfying themselves that they are
eligible as per the terms and conditions of this recruitment notification. Any application sent
through any mode other than the prescribed offline mode [physical application] will not be
entertained under any circumstances. Submission of application from by the candidate is
authentication that he/she has read the notification and shall abide by the terms and
conditions laid down there under.
 In view of the above, it is submitted that a Notification may be issued for inviting the
applications from the eligible candidates to fill up the all the vacancies under the control of
the Principal, Government Medical College, Eluru; the Superintendent, Government General
Hospital, Eluru; and also the Principal, Government Nursing College, Eluru respectively duly
publishing in the District websites of Eluru District and West Godavari District besides to issue
paper notification in leading Telugu News papers so as to enable to fill up all the above said
vacancies.

Therefore orders are requested on the following.

A. A Notification may be issued duly publishing the Dist. Website of both Districts Eluru and
West Godavari, Bhimavaram beside issuing leading Telugu News Papers to invite the
applications from the eligible candidates to fill up the all the above said vacancies
respectively as mentioned above duly indicating the time schedule for receiving the
applications from .11.2023 to .12.2023.

[OR]

Any other instructions.

Submitted for orders.

Sd/- xx xx xx
Collector and District Magistrate,
Eluru.
//Attestted//
Principal,
Government Medical College, Eluru.
 GOVERNMENT OF ANDHRAPRADESH
HM & FW Department
Director of Medical Education
Government Medical College/Government General Hospital/Govt. Nursing College, E l u r u
(DraftNotificationNo:01/A2/GMCE/Combined Recruitment/2023, Date: .11.2023)
Recruitment to the various Posts to work on Contract/Outsourcing basis in
Government Medical College/Government General Hospital (Teaching Hospital) and
Government Nursing College under DME Control in Eluru District

Application for the Post of:

Affix Pass port
Application No.(to be filled by the office): size latest
color
photograph

1 Name of the Candidate

2 Gender

3 Father’s Name

4 Date of Birth(DD-MM-YYYY)
Social Status
5 (OC/OC-EWS/SC/ST/BC-A,B,C,D,E)
Whether claiming for service weightage
for Contract / Outsourcing service Yes/No
6 (enclose contract / outsourcing service
certificate)

Whether Physically Handicapped

(VH/HH/OH)
7 (SADAREM Certificate to been closed)

Whether claiming EWS reservation

8 (copy of the certificate enclosed)

Whether Ex-Servicemen
(enclose Service Certificate) Yes/No
9

Mobile number of the applicant 1. 2.

10

DD (Demand Draft) particulars DD. No. Date: Amount:

11

Address for communication:

12

Email.ID:

+
13. Marks obtained in the requisite Academic/Professional/Technical qualification:

Maximum Marks Marks Year of passing Whether registered

Sl.No Qualification
obtained (Month & Year) in respective
council (Yes/No)

14. Details of Contract/Outsourcing/Honorarium service as on. 11.2023:

Urban/Rural Service certificate

Contract/ /Tribal(or) Period of service Total period issued by the
Sl. No Name of the Institution Out- Covid-19 (Years–Months– competent
sourcing From To Days) authority enclosed
(yes/no)

15. Details of School Studies from 4th Class to 10th Class (For Local Status):

Sl. Year of
Class Name of the School Town and District
No passing
1 IV

2 V

3 VI

4 VII

5 VIII

6 IX

7 X
 DECLARATION,

Smt/Kum/Sri…………………….…......................D/o or S/o or W/o do

hereby declare that, above particulars furnished by me are true to the best of my

knowledge. I agree that in the event of any of the details furnished above being

found to be incorrect or false at a later date, my candidature will be forfeited

summarily.

Signature of the applicant

 ACKNOWLEDGEMENT

The application received for the Postof __________________________

In Notification N o . 0 1 / A 2 / G M C E / 2 0 2 3 , u n d e r control of Government Medical

College/Government General Hospital (DME Control )/ Government Nursing College,

Eluru on Contract/Outsourcing Basis for a Period of OneYear.

Notification issued on -11-2023 and the application registration No. is _________

ofSri/Smt_____________________________D/o/S/o___________________________________.

Receiver Signature Candidate Signature

 GOVERNMENTOFANDHRAPRADESH
Contract/Outsourcing/HonorariumServiceCertificate(Certificatet
obeissuedbytheControllingOfficerconcerned
(DM&HO/DCHS/PrincipalsofGMC/SuperintendentsofGGH/oranyOtherAppointing
Authority)

This is to certify that, S/o, D/o……………………………….has been working/

worked as (name of the post) in PHC/CHC/AH/ DH/GGH/or any other AP State Institution at
on Contract/Out-Sourcing / Honorarium basis with concurrence of finance department, Government of AP.
Details of his / her Contract / Out-Sourcing service as on the date of notification are as follows:

Reasons for Charges

Urban/
Period /allegations
Rural/Tribal break in
Name of the (or) Duration service /adverse
institution (if any) remarks if
Covid-19 From To any

I hereby declare that:

1. His/her services as.......................................................on Contract/Out-sourcing honorary basis

during the above said period are satisfactory.
2. He/she does not have any adverse remarks from his superiors during the period of
Contract/Out-sourcing/Honorarium service.
3. He/she is eligible for Contract / Outsourcing Service Weightage as per the rules published in
the notification.

Signature& Seal of the Controlling Officer

(DMHO/DCHS/anyother competent District
Authority who appointed the applicant)

Imp. Note: The self attested copy of appointment order must be en-closed along with this service
certificate, otherwise weightage for Contract/Outsourcing/honorary service will not be
considered for final merit.
 APPENDIX-I
CERTIFICATEOFRESIDENCE

(VideSub-Clause(ii)ofClause(a)para7ofthePresidentialorder)Itisherebycertified,
(a) ThatSri/Srimathi/Kumari_______________________________________________
S/o. W/o, D/o ________________________

Appeared for the first time for the matriculation (S.S.C) Examination in
(month) _________year_____________;

(b) That he/she has not studied in any educational institution during the whole
or a part of the4consecutiveacademic years ending with the academic year in
which he/she first appeared for the aforesaid examination;

(c) That in the 4 years immediately preceding the commencement of

the aforesaid examination, he/she resided in the following
place/places namely,

Village Taluk District Period

1.

2.

3.

4.

5.

6.

7.
Station: OFFICESEAL Officer of Revenue Departmentnot
Date: Below the rank of Tahsildhar or
Deputy Tahsildhar in independent
Charge Of aSubTaluk

Date:

*Strike off ‘whole’ ‘apart’, as the case may be.