F.A.12024/1/2022-Admn.

I
THE NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE (NIHFW)
VACANCY NOTICE

The National Institute of Health and Family Welfare is an autonomous Institute funded by the
Ministry of Health and Family Welfare is an apex Technical Institute for promoting Health and Family
Welfare Programmes in the country through Education and Training, Research and Evaluation,
Consultancy, Advisory and Specialized Services.

Applications are invited from the Citizens of India for the following posts:

Sl. Name of Post Pay Matrix Level No. of Category Form of Application
No. post(s)
1. Medical Officer(Male) Pay Matrix Level 10 01 UR Annexure-I
(Rs.56100-
177500+NPA)
2. Senior Documentation Pay Matrix Level 11 01 UR Annexure-II
Officer (Rs.67700 – 208700)
3. Accounts Officer Pay Matrix Level 07 02 By transfer on Annexure-III
(Rs.44900-142400) deputation
4. Programmer Pay Matrix Level 07 02 By transfer on For Deputation
(Rs.44900-142400) deputation failing Annexure-III
which by Direct
Recruitment Method For Direct Recruitment
Annexure-II
5. Accountant Pay Matrix Level 06 05 By transfer on Annexure-III
(Rs.35400-112400 ) deputation
6. Transport Supervisor Pay Matrix Level 06 01 UR Annexure-II
(Rs.35400-112400)
7. Senior Artist Pay Matrix Level 06 01 UR Annexure-II
(Rs.35400-112400)

For details please visit Institute’s website: www.nihfw.org. Completed application in all respect should reach
Deputy Director (Admn.), NIHFW at the above address on or before 30th September, 2022.

DIRECTOR
 No.A.12024/1/2022-Admn.I
THE NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE (NIHFW)

VACANCY NOTICE

The National Institute of Health and Family Welfare is an autonomous Institute funded by the
Ministry of Health and Family Welfare is an apex Technical Institute for promoting Health and Family
Welfare Programmes in the country through Education and Training, Research and Evaluation,
Consultancy, Advisory and Specialized Services. The Institute invites applications for the following posts.

Sl. Name of Post Pay Matrix Level No. of Category Form of Application
No. post(s)
1. Medical Officer(Male) Pay Matrix Level 10 01 UR Annexure-I
(Rs.56100-
177500+NPA)
2. Senior Documentation Officer Pay Matrix Level 11 01 UR Annexure-II
(Rs.67700 – 208700)
3. Accounts Officer Pay Matrix Level 07 02 By transfer on Annexure-III
(Rs.44900-142400) deputation
4. Programmer Pay Matrix Level 07 02 By transfer on For Deputation
(Rs.44900-142400) deputation failing Annexure-III
which by Direct
Recruitment Method For Direct Recruitment
Annexure-II
5. Accountant Pay Matrix Level 06 05 By transfer on Annexure-III
(Rs.35400-112400 ) deputation
6. Transport Supervisor Pay Matrix Level 06 01 UR Annexure-II
(Rs.35400-112400)
7. Senior Artist Pay Matrix Level 06 01 UR Annexure-II
(Rs.35400-112400)

1. Medical Officer (Male): One post (UR)

Method of Recruitment: By Direct Recruitment

Scale of pay: Pay Matrix Level – 10 (Rs.56100 – 177500) + NPA
Age limit: Normally not exceeding 40 years. However, in suitable cases (e.g.) Applicants
with a Post Graduate Medical Degree), the upper age limit will be 45 years
(relaxable for Government Servants up to five years and for SCs/STs and other
category of candidates in accordance with the instructions or orders issued by
the Central Government. The upper age limit will not apply to the regularly
appointed employees of the Institute, competing as Direct Recruits).

Educational and other qualifications

Essential:
I. MBBS Degree from a recognized University.
II. One year experience in the field of Paediatrics/Obstetrics and
Gynaecology/Medicine/Maternal & Child Health Care/ Surgery after completion of one
year internship.
Desirable:

I. A Post Graduate medical degree from a recognized university.

II. At least 03 years’ experience in the field of Family Planning including Infertility/ Obstetrics
& Gynaecology/ Surgery/ Paediatrics/ Maternal and Child Health Care.
2. Senior Documentation Officer: One Post (UR)

Method of Recruitment: By Direct Recruitment

Scale of Pay: Pay Matrix Level 11 (Rs.67700-208700)
Age Limit: Not exceeding 40 years

Educational and other qualifications

Essential
(i) Master’s degree, preferably in a Science or Social Science subject, recognized University
or equivalent.
(ii) Master’s degree in Library and Information Science of a recognised University or
Associateship in Documentation & Information Science from Documentation Research
and Training Centre (DRTC) or Indian National Scientific Documentation Centre
(INSDOC).
(iii) 05 years experience in Library/Documentation Centre of repute.

Desirable
i) Experience in Computer Applications to Library.
ii) Experience in providing documentation service/repackaging of Information.

3. Accounts Officer: Two Posts

Method of Recruitment: By Deputation

Scale of Pay: Pay Matrix Level - 07 (Rs.44900-142400)
Age Limit: Not exceeding 56 years as on the closing date

Deputation

Officers under the Central Government/State Govts./UT Govts./Autonomous or Statutory

organizations.

a) (i) holding analogous posts on regular basis or

(ii) With 5 years' service in the grade on regular basis in Pay Matrix Level- 06
(Rs.35400-112400) or equivalent; and

b) Possessing any one of the following qualifications:-

(i) A pass in the SAS or equivalent examination conducted by any one of the
Organized Accounts Departments of the Central Government; OR
(ii) Successful completion of training in the Cash and Accounts Work in the ISTM or
equivalent training course and a minimum of 3 years experience in Cash,
Accounts and Budget work.

Note- The period of deputation including the period of deputation in another ex-cadre post
held immediately preceding this appointment in the same or some other
organization/department of the Central Government shall ordinarily not exceed three years.
The maximum age limit for appointment by deputation shall be `Not exceeding 56 years' as
on the closing date.
 4. Programmer: Two Posts
Method of Recruitment: By Deputation failing which by Direct Recruitment
Scale of Pay: Pay Matrix Level-7 (Rs.44900-142400)
Age Limit: Not exceeding 56 years as on the closing date (for Deputation only)

Deputation
Officers under the Central/State Governments/Universities/Recognized Research Institute/Public
Sector Undertakings/Semi Government Autonomous or Statutory organizations:

(a) (i) Holding analogous posts on regular basis

(ii) With 2 years' service in the grade on regular basis in Pay level-6 (Rs.35400-
112400) or equivalent; and
(b) Possessing the education qualifications and experience prescribed for Direct Recruits are as
under:

Educational and Other Qualifications:

(i) Master’s Degree in Computer Applications / Information Technology / Computer Science of a
recognized University /Institute; or B.E./B.Tec.in computer Engineering / Computer Science /
Computer Technology / Computer Science & Engineering / Information Technology from a
recognized University/Institute; and
(j) Two years’ experience in Web Development / Management in a Government Office/PSU /
Autonomous Body /Statutory Body or in any recognized Institution.

Note: The period of deputation including the period of deputation in another ex-cadre post
held immediately preceding this appointment in the same or some other
organization/department of the Central Government shall ordinarily not exceed three years.
The maximum age limit for appointment by deputation shall `Not exceeding 56 years' as on
the closing date.
[Please note that in case no suitable candidate is available on deputation basis, then the applications for the
post of Programmer under Direct Recruitment Method shall be considered. The educational and other
qualifications are same for the Direct Recruits/Deputation except Age]
Direct Recruits (UR)
Age: Not exceeding 30 years (relaxable for Government servants and regularly appointed
officers/ staff of NIHFW up to five years and SCs/STs and other category of candidates in
accordance with the instructions or orders issued by the Central Government).
Educational and other Qualifications for Direct Recruits:
Essential:
(i) Master’s Degree in Computer Applications / Information Technology / Computer Science of a
recognized University /Institute; or B.E./B.Tec.in computer Engineering / Computer Science /
Computer Technology / Computer Science & Engineering / Information Technology from a
recognized University/Institute; and
(ii) Two years’ experience in Web Development / Management in a Government Office/PSU /
Autonomous Body /Statutory Body or in any recognized Institution.

Note 1: Qualifications are relaxable at the discretion of the Competent Authority, for reasons to be
recorded in writing, in case of candidates otherwise well qualified.
Note 2: The Qualifications regarding experience is/are relaxable at the discretion of the Competent
Authority, for reasons to be recorded in writing, in case of candidate belonging to the SCs/STs if, at
any stage of selection the Competent Authority is of the opinion that sufficient number of candidate
from these communities possessing the requisite experience are not likely to be available to fill up
the posts reserved for them.
5. Accountant: Five Posts

Method of Recruitment: By Deputation

Scale of Pay: Pay Matrix Level-6 (Rs.35400-112400)
Age Limit: Not exceeding 56 years as on the closing date

Deputation

Officers under the Central Govt/State Govts./UT Govts./Autonomous or Statutory

Organisations.

a) (i) Holding analogues posts on regular basis or

(ii) With 6 year’s service in the grade on regular basis in the Pay Level-5 (Rs.29200-
92300) or equivalent.
(iii) With 8 year’s regular service in the grade the Pay level-4 (Rs.25500-81100) or
equivalent; and

a) Who have undergone training in cash and accounts work in the ISTM or equivalent
course and possessing two year’s experience of cash, accounts and budget work.

Note-The period of deputation including the period of deputation in another ex-cadre post held
immediately preceding this appointment in the same or some other organization / department of the
Central Government shall ordinarily not exceed three years. The Maximum age limit for appointment
by deputation shall be `Not exceeding 56 years’ as on the closing date.

6. Transport Supervisor: One Post (UR)

Method of Recruitment: By Direct Recruitment

Scale of pay: Pay Matrix Level 06 (Rs.35400-112400)
Age limit: Not exceeding 25 years

Educational and other qualification

Essential:
1) Matriculation or equivalent from a recognised board.
2) Diploma in Automobile Engineering or Mechanical Engineering from a recognised board.
3) 03 years experience in an automobile workshop of repute or Government concern.

7. Senior Artist: One post (UR)

Method of Recruitment: By Direct Recruitment
Scale of pay: Pay Matrix Level 06 (Rs.35400-112400)
Age limit- Not exceeding 28 years
Education and other qualification
Essential:
1. Higher secondary or equivalent from a recognised board
2. Diploma in fine/Commercial art from a recognised Institute
3. 3 year’s experience of preparing layouts and designs for visual media in advertising publishing
and teaching.
Desirable:
Experience or training in preparation of educational and training aids.
GENERAL:

1. Interested and eligible candidates may download the form for the respective posts available on
NIHFW's website www.nihfw.org and submit the same duly filled in along with the prescribed
application fee and all necessary self attested documents, in support of their age, qualification, working
experience etc.
2. The period of working experience shall be counted only after the acquiring of essential qualification of
the post.
3. No age relaxation against the post earmarked for Unreserved Category.
4. The post of Programmer is to be filled up by deputation, failing which by Direct Recruitment Method
under Unreserved Category. The age limit for Direct Recruitment not exceeding 30 years (relaxable for
Government servants and regularly appointed officers/ staff of NIHFW up to five years and SCs/STs
and other category of candidates in accordance with the instructions or orders issued by the Central
Government).
5. No fee for SC/ST/Women/PWD and for deputation posts/candidates.
6. The crucial date for determining age for direct recruitment will be 01.07.2022. The age limit prescribed
for direct recruits may not apply to departmental candidates competing as direct recruits, except for the
post of Programmer.
7. The Candidates working in Govt./Semi Govt./PSU/Autonomous Bodies must apply through proper
channel.
8. Mere fulfilling the essential qualifications does not entitle a candidate to be called for interview/ written
examination/skill test.
9. Late applications/incomplete applications/ application without supporting documents/applications not in
the prescribed format/ application without prescribed fee (where applicable) / interim enquiries will not
be entertained and such applications shall be summarily rejected.
10. Canvassing in any form by or on behalf of any candidate will disqualify the candidate.
11. No correspondence will be entertained from the applicant either before or after the selection. The
decision of the Institute would be final and binding on part of the applicants.
12. NIHFW reserves the right to either fill up all the posts, or some of the posts or none of them without
assigning any reason. The number of vacancies shown in this Advertisement may vary depending
upon the resultant vacancies which may occur due to retirement/promotion etc. No separate
advertisement will be published for all such additional vacancies.
13. The Institute may conduct interview/written examination/skill test for all/any of the above posts to select
the candidates on the basis of merit. The decision of the Director, NIHFW shall be final in this regard.
14. In routine job the employees are required to work/carry out day to day job on Computers therefore,
preference will be given to candidates having operational knowledge of Computer.
15. NIHFW will not be responsible for any postal delay/loss in transit in submission of application within
specified time. Application forwarded through any other means including by FAX or e-mail etc. will not
be entertained and summerly rejected.
16. The candidates appointed will be governed by new Contributory Pension Scheme effective from
01.01.2004.
HOW TO APPLY

1. Application Forms may be downloaded from the Institute’s website www.nihfw.org by clicking on
“Download Form”. Downloaded application must be accompanied by the prescribed fee of Rs.500/-
(Rupees five hundred only) for the post at serial number 1 & 2 and Rs.300/- (Rupees three hundred
only) for the posts at serial number 6 & 7 as specified by a crossed Indian Postal Order/Demand Draft
in favour of The Director, The National Institute of Health and Family Welfare, payable at New
Delhi.
2. Application fee of Rs.300/- (Rupees three hundred only) for the post Programmer at serial number 4 –
only for those who are applying under Direct Recruitment Method.
3. Applications for deputation posts must be sent through proper channel in the proforma given along with
the complete and up-to-date bio-data and attested copies (by the competent copies) of confidential
reports (for last 5 years) and Vigilance Clearance.
4. Applications for the post(s) other than deputation should also be sent through proper channel, in case
the candidate is already in Govt. Service along with the complete and up-to-date bio-data and self
attested copies of documents in support of their age, qualification, experience etc.
5. Completed applications along with self-attested photocopies of educational qualifications, proof of
belonging to OBC/Physical Handicapped and experience certificates should reach to The Director,
National Institute of Health & Family Welfare, Baba Gang Nath Marg, Munirka, New Delh-110067
on or before 30th September 2022. Alternatively, the application may be dropped in the drop box kept
at the Gate No.1 of the Institute. The envelope must be super-scribed as "Application for the post of
(Please write name of the post)".
6. Please note that only one application form should be used for one post. Application forms found to
have been applied for more than one post in an application form will be rejected out rightly.

DIRECTOR
 ANNEXURE-I

THE NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE

Baba Gang Nath Marg, Munirka, New Delhi-110067

FORM OF APPLICATION

APPLICATION SHOULD BE ACCOMANIED BY A CROSSED INDIAN

POSTAL/ ORDER/ DEMAND DRAFT OF Rs.500/- (FIVE HUBNDRED ONLY)
PAYBLE AT NEW DELHI AS APPLICATION FEE.

Give details of the Indian Postal Order/ below:

Please affix your latest colour
photograph (self-attested) 1. Name of the Post Office/ bank __________________________
2. No. and Date: _______________________________________
3. Amount: ___________________________________________

Fill up all the columns except those, which are not applicable

1. Post Applied for: _______________________________________________

2 Name in full (in BLOCK LETTER)

Surname Name

_______________________ __________________________

3. Address for Correspondence:

Pin Code:

4. Permanent Address :

Pin Code:

Telephone Number(s) (with STD code) (Residence/Office)

E-mail address __________________________________

5. Date of Birth ________ Age as on (01.07.22) ________Years ______ Month ________ Days ______

6. Sex: Male/ Female (strike out whichever is not applicable)

1
7. Marital Status: Married/ Unmarried (strike out whichever is not applicable)

8. Are you a citizen of India by birth/domicile? ________________________________________

9. Father's / Husband name (Strike out whichever is not applicable): ______________________

Address____________________________________________________________________

10. Do you belong to SC/ST/OBC/Physically Handicapped/Ex-service man? Yes/No

(If the answer is yes, please attach a latest certificate from the Component Authority?)

11. Particular of all examination passed and degree and technical qualifications obtained commencing from
recognized School Board or equivalent examination.
(Please attach a separate sheet, if required)

Examination or Subject (s) Class/Division School/ Name of Duration of Year of

Degree taken and % of College University / Course passing
Marks attended Board

12. Academic Distinction (prize, Medal Award etc.)____________________________________________________

13. Whether NET/ GATE/ equivalent cleared? Yes / No (Attach a copy of proof)

14. Are you employed? Yes/No

Give in chronological order details of employment

Full address of Post held and scale of Whether held Permanently Period with last pay drawn
the office, firm or pay / Temporarily
Institution From To Last pay
drawn

15. Membership of National and International Professional Bodies

2
16. What Languages (including Indian languages) can you read, write or speak? Give particulars and
state the examination (s), if any passed in each

Language Examination passed if any Please state, whether you can read,
write or speak

17. Are you registered for higher degree (PhD/ MD. etc.), if so, give details

(I) Name of the Institution where registered

(II) Degree for which registered
(III) Subject of thesis
(IV) Date of registration
(V) Date of submission of thesis
(VI) Date of written examination if any
(VII) Date of completion

18. A. Research experience, if any

I Pre-doctoral
II Post-doctoral
III. Research work experience
Total Period

B. Supervisor for MD/Ph.D registered

I. No. of MD /Ph.D work

II. No. of MD/Ph.D awarded degree

19. Details of publications/ Books/ Patients (Reprint should be attached, if available)

(Attach list of publications)

I. Publication in Scientific Journals:

a. National
b. International
II. Patient:
III. Books / Chapters in Books / Monograph / Learning modules:

3
20. Teaching experience, if any

Undergraduate/ Name of the Institution and Time Period (with dates)

Postgraduate Department

21. Administrative Experience, if any

Dates Name of the Institution / Name of Assignment

Organization

22. Describe below the specific experience gained (duration) which has a bearing on the duties of the post
applied for

23 Your field of specialization (major achievements if any)

24. Have you been outside India in any Professional assignments (Training / Research / Fellowship/Any other)? If
so, give the details

Period Country Nature & work done Purpose

25. If selected for appointment, joining time required:

26 Have you applied for any post advertised by this institute during the last two years? If yes, give
particulars below:

Post applied for Date of advertisement Date of interview Result, if communicate

4
28. Have you ever been dismissed, removed or compulsorily retired from service? If yes, give details.

29. Please justify how you fulfill the qualifications and experiences for the post? (Attach separate sheet if
necessary

30. Details of enclosure:

1. 4.
2. 5.
3. 6.
7. 8.
9. 10.

DECLARATION:

I hereby declare that I am a citizen of India and all the statements made in this application are true, complete
and correct to the best of my knowledge and belief. I have never been convicted by any court of law and no
criminal case is pending against me in any court of law in the country. My certificates can be got verified at any
time from the issuing authority. In the event of any information being found false/incorrect or ineligibility being
detected at any stage/point of time i.e. before or after the written test/skill test/appointment, my candidature will
stand automatically cancelled.

Signature of candidate

Place: ……………………….

Date: ……………………….

5
 Certificate by Head of Department/Organization

(Applicable only to those candidates who are working in Govt./Semi. Govt./PSU/Autonomous Bodies and who are
required to apply through proper channel).

Name and Address of the Office: _____________________________

1. Certified that Dr./Shri/Smt./Km. ___________________________________ is an employee of this

Dept./Office/Organization. I have no objection to his/her application being considered for the post.

2. Certified that particulars of the officer/employee have been verified and found to be correct.

3. It is certified that no disciplinary proceedings are either pending and/or contemplated against the
officer/employee. Integrity of the officer/employee is also certified.

4. Certified also that he/she submitted his/her application to the Department/ Office /Institute /Organization on
___________________ for onward transmission to the NIHFW.

Signature of Head of Department

(with stamp)

Designation __________________
(Ministry/Office stamp)
Date:

Place:

6
 ANNEXURE-II

THE NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE

Baba Gang Nath Marg, Munirka, New Delhi-110067

FORM OF APPLICATION

APPLICATION SHOULD BE ACCOMANIED BY A CROSSED INDIAN

POSTAL/ ORDER/ DEMAND DRAFT OF Rs.500/- (FIVE HUBNDRED ONLY)
PAYBLE AT NEW DELHI AS APPLICATION FEE. NO FEE FOR SC/ST
CANDIDATES.

Please affix your latest self-attested Give details of the Indian Postal Order/ below:
colored photograph
1. Name of the Post Office/ bank __________________________
2. No. and Date: _______________________________________
3. Amount: ___________________________________________

Fill up all the columns except those, which are not applicable

1. Post Applied for: _______________________________________________

2 Name in full (in BLOCK LETTER)

Surname Name

___________________ _________________

3. Address for Correspondence:

Pin Code:

4. Permanent Address :

Pin Code:

Telephone Number(s) (with STD code) (Residence/Office)

E-mail address __________________________________

5. Date of Birth: Day___________ Month__________ Year ______

6. Age as on 01.07.2022: Year _______ Month _______ Day _______

7. Sex: Male/ Female/ Other (strike out whichever is not applicable)

8. Marital Status: Married/ Unmarried/Divorcee (strike out whichever is not applicable)

9. Are you a citizen of India by birth/domicile?

10. Father's / Husband name (Strike out whichever is not applicable): ______________________
Address____________________________________________________________________

11. Do you belong to SC/ST /OBC/ physically Handicapped/Ex-service man? Yes/No

(If the answer is yes, please attach a certificate from the Component Authority?)

12. Particular of all examination passed, degree and technical qualifications obtained commencing from School
Board or equivalent examination.
(Please attach a separate sheet, if required)

Examination or Subject (s) Class/Division School/ Name of Duration of Year of

Degree taken and % of Marks College University the Course passing
attended /Board

13. Academic Distinction (prize, Medal Award etc.)

14. Whether NET/ GATE/ equivalent cleared? Yes / No (Attach a copy of proof)

15. Membership of National and International Professional Bodies

16. What Languages (including Indian languages) can you read, write or speak? Give particulars and
state the examination (s), if any passed in each

Language Examination passed if any Please state, whether you can read,
write or speak
17. Are you employed? Yes/No
Give in chronological order details of employment

Full address of Post held and scale of Whether held Permanently Period with last pay drawn
the office, firm or pay / Temporarily
Institution From To Last pay
drawn

18. Other Professional Experience, if any

Total Period

Dates Name of the Institution Organization Name of work done

19. Administrative Experience, if any

Dates Name of the Institution/Organization Name of Assignment

20. Describe below the specific experience gained (duration) which has a bearing on the duties of the post
applied for

21. Your field of specialization (major achievements if any)

22. If selected for appointment, joining time required:

23. Have you applied for any post advertised by this Institute during the last two years? If yes, give
particulars below:

Post applied for Date of advertisement Date of interview Result, if communicate

24. Have you ever been dismissed, removed or compulsorily retired from service? If yes, give details.

31. Details of enclosure:

1. 4.
2. 5.
3. 6.

DECLARATION:

I hereby declare that I am a citizen of India and all the statements made in this application are true, complete
and correct to the best of my knowledge and belief. I have never been convicted by any court of law and no
criminal case is pending against me in any court of law in the country. My certificates can be got verified at any
time from the issuing authority. In the event of any information being found false/incorrect or ineligibility being
detected at any stage/point of time i.e. before or after the written test/skill test/appointment, my candidature will
stand automatically cancelled.

Signature of candidate

Place ………………………

Date ………………………
 Certificate by Head of Department/Organization

(Applicable only to those candidates who are working in Govt./Semi. Govt./PSU/Autonomous Bodies and who are
required to apply through proper channel).

Name and Address of the Office: _____________________________

1. Certified that Dr./Shri/Smt./Km. ___________________________________ is an employee of this

Dept./Office/Organization. I have no objection to his/her application being considered for the post.

2. Certified that particulars of the officer/employee have been verified and found to be correct.

3. It is certified that no disciplinary proceedings are either pending and/or contemplated against the
officer/employee. Integrity of the officer/employee is also certified.

4. Certified also that he/she submitted his/her application to the Department/ Office /Institute /Organization on
___________________ for onward transmission to the NIHFW.

Signature of Head of Department

(with stamp)

Designation __________________
(Ministry/Office stamp)
Date:

Place:
 ANNEXURE-III

THE NATIONAL INSTITUTE OF HEALTH AND FAMILY WELFARE

Baba Gang Nath Marg, Munirka, New Delhi-110067

FORM OF APPLICATION FOR DEPUTATION POSTS

1. Post applied for: ___________________________________________________________

2. Name in full
(In Block Letters) First Middle Last

3. Father’s /Husband Name:

(In Block Letters)

4. (a) Date of Birth (in figure):

(b) Age as on closing date: Years Months Days

5. (a) Social Category:

(SC/ST/OBC/PH/GEN/PH - Please attach self-attested photocopy of the certificate)

6. Gender (Male/Female/Other):

7. Marital Status: Married / Unmarried/ Divorcee etc. (Strike out whichever is not applicable)

8. (a) Telephone No. (with STD Code): (b) Mobile No.:

(c) Email ID:

9. Nationality:

10. Religion:

11. Address for Correspondence:

Pin Code:

1
12. Permanent Address:

Pin Code:

13. Particulars of all examination passed and degree and technical qualifications obtained commencing from
School Board or equivalent examination:

(Please attach separate sheet, if required)

% age of
Examination/ University/ Year of
marks/ Subjects
Degree Board Passing
Division

14. Experience: (Please attach attested copies of the experience certificate) (please start with the latest).
(Please attach separate sheet, if required).

Period Pay Scale/Pay

Name of Band & Grade Nature of work/
Post held
employer From To Pay/Pay Level with Duties
Basic Pay

15. Working knowledge of computer: (Yes/No):

2
16. Are you a departmental candidate? (Yes/No)?

If ‘yes’ give details: Name of Office :

Post held :
Date of Appointment :
Department :

17. Are you applying through proper channel): (Yes/No)? _________

If ‘Yes’ is this your advance copy? (Yes/No) ________

DECLARATION

I hereby declare that I am a citizen of India and all the statements made in this application are true,
complete and correct to the best of my knowledge and belief. I have never been convicted by any court of law
and no criminal case is pending against me in any court of law in the country. My certificates can be got verified
at any time from the issuing authority. In the event of any information being found false/incorrect or ineligibility
being detected at any stage/point of time i.e. before or after the written test/skill test/appointment, my
candidature will stand automatically cancelled.

(Signature of the Candidate)

Name: ____________________________

Date: ___________

Place: ___________

3
 Certificate by Head of Department/Organization

(Applicable only to those candidates who are working in Govt./Semi. Govt./PSU/Autonomous Bodies and who are
required to apply through proper channel).

Name and Address of the Office: ________________________________

1. Certified that Shri/Smt./Km. ___________________________________ is an employee of this

dept./office/organization. I have no objection to his/her application being considered for the post.

2. Certified that particulars of the officer/employee have been verified and found to be correct.

3. It is certified that no disciplinary proceedings are either pending and/or contemplated against the
officer/employee. Integrity of the officer/employee is also certified.

4. Certified also that he/she submitted his/her application to the department/ office /institute /organization on
___________________ for onward transmission to the NIHFW.

Signature of Head of Department

(with stamp)

Designation __________________
(Ministry/Office stamp)
Date:

Place: