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Wednesday, January 13, 2010

APPEAL FORMAT FOR INCLUSION OF PARTICULARS BY INDIVIDUALS


1
Name

2
Sex

3
Present Designation

4
Present Station

5
D.O.B.

6
Date of joining service

7
Whether selected by TNPSC (if yes) state the year and seniority)

8
Date of regularization

9
Date of declaration of probation

10
CML/ 2005/2009 as per recent publication in www.tnhealth.org

11
Whether selected by 10a1/ Contract/ Compulsory PG postings/ CEmONC /TNHSP

12
If yes, please state if regularized by special TNPSC exam

13
If regularized, please state the date of passing the exam and the seniority number in the exam

14
Community (state OC/ BC/ MBC/ SC/ ST)

15
e-mail address

16
Mobile number

17
Office phone number (with code)

18
Tamilnadu Medical Council registration Number

19
QUALIFICATIONS:
                           
DATE OF PASSING
20
MBBS


Diploma


Degree


Super specialty


21
Any Disciplinary Proceedings pending



Say Yes or No



If yes (furnish details)


22
Whether relinquished any promotion. If yes date of relinquishment


23
Designation as on 1.1.2006


24
Designation as on 1.1.2009


25
Unauthorised absence (please specify the period)


26
Remarks



Declaration

I hereby declare that the above details are true to the best of my knowledge and as per service records.

 Date:         
                                                                                                 (Signature of the individual)



Checked and countersigned


DEAN / JDHS /DDHS/ RAMO / HS (ESI)/
With office seal

Note: Please send above format by a typed copy through E_mail and Post.
      <dmrhs.tn@rediffmail.com>       <suri_1971@yahoo.com>

3 comments:

  1. Pl clarify eligibility for inclusion in CML2010.(e.g.TNPSC Cleared?, departmental Test Passed?, Regularised?, Probation Declared?, 10A1,(or) Who are in TN Govt service?

    ReplyDelete
  2. The DMS officials & TNGDA state leaders (CML) not ready to intervene (only want to update the datas) regarding CML anomalies.So many juniors were placed before seniors.They are unable to understand the basic service seniority rule.Tn govt doctors are now in very pathetic situation under the present TNGDA..The only way before us to resolve the issue is LEGAL APPROACH...BE READY...NOW LAYERS IN MADURAI/CHENNAI ARE READY TO GET STAY ORDER ON CML 2009...We invite affected persons to join with us..

    ReplyDelete
  3. Dr.SENTHIL K ( State Sec) is one the person who benefited by the CML Anomalies.He joined service only during 1993.Thats why he is not showing any interest towards this matter.But our doctors are now ready to go court for this issue

    ReplyDelete

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