DRAFT NOTIFICATION

COMBINED NOTIFICATION -1
GOVERNMENT OF ANDHRA PRADESH
HEALTH MEDICAL & FAMILY WELFARE DEPARTMENT
SRI VENKATESWARA MEDICAL COLLEGE, TIRUPATI
Notification no. 1 /2024-25, approved by the District collector for
appointment to various posts in Health Institutions of (CHITTOOR
ERSTWHILE DISTRICT CONCERNED) under the control of the DME, AP.
Vijayawada, in S.V. Medical College, Tirupati , S.V.R.R.Govt. General
Hospital Tirupati, Government Maternity Hospital, Tirupathi , Sri
Padmavathamma Govt.College of Nursing & Government School of Nursing
Tirupati on Contract/Out sourcing basis only.

1. G.O.Ms.No.188, HM&FW (D1) Dept: Dated:15-07-2023

2. G.O.Ms.No.199, HM&FW (A1) dept. dt: 30.07.2022.
3. Rc.No. 2216683/P2/2023 dt. 26-10-2023 of the DME,A.P.
Vijayawada.
*****
1. Applications are invited from eligible candidates for recruitment to
various posts in health institutions of (Chittoor District
erstwhile district concerned) under the control of the Principals
of Government Medical Colleges , Superintendents of Government
General Hospitals and Government School of Nursing ,
Government Maternity Hospital, on contract/Out Sourcing basis
only.
Proforma of application will be available on the portal
(https:// chittoor.ap.gov.in, https://tirupati.ap.gov.in , and official
website of S.V. Medical College, Tirupati. www.svmctpt.edu.in )

a. Last Date for submission of physical applications is 05:30PM on

Dt:-22-02-2025 Filled in applications shall be submitted in the
O/o Principal, S.V. Medical College, Tirupati. 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.
b. The candidates who are submitting application through Register
post are hereby instructed to submitted their applications with
in last date ie., 22-02-2025this office is not responsible for any
postal delay. The Applications which were received after last
date should not entertained and same will be rejected.
c. District Jurisdiction for this recruitment is erstwhile Chittoor
district only and the vacancies at health facilities mentioned
above shall be considered to be filled. Hence candidates shall
apply to the respective erstwhile Chittoor district only.
 d. Simultaneous counselling will be conducted for all three
institutions together and candidates will be allowed to
choose only one institute from among them, while exercising
his/her option. Roster registers will be maintained
separately by Principals/ Superintendent for each post and
respective institutions.
e. The Merit List of this notification is valid for one year for the
purpose of filling up of existing and arising vacancies if any.

Remuneration pm in Rs/-
No. of vacancies

Recruiting agency
Govt. School of Nursing,
SV Medical College, TPT

Govt. Maternity Hosp.

Sri Padmavathamma
SVRRGGH, Tirupati)
SVRRGovt. General

Govt. CON, Tpt

Hospital, Tpt
(SVRRGGH)
Mode of

Tpt (GMH)
S.No Name of the post
(SVMC)

recruitment

(SON)

Total
1 Lab Attendant --- 3 2 --- 2 7 Out sourcing DSC 15,000
General Duty
2 14 --- --- --- 1 15 15,000
Attendant Out sourcing DSC
3 Library Attendant --- --- --- 1 --- 1 Out sourcing DSC 15,000
Emergency Medicine
--- 1 --- --- --- 1 32,670
4 Technician Contract Basis DSC
5 Dialysis Technician --- 1 --- --- --- 1 Contract Basis DSC 32,670
6 Data Entry Operator --- 2 1 --- --- 3 Out sourcing DSC 18,500
7 Female Nursing Orderly --- 7 --- --- --- 7 Out sourcing DSC 15,000
8 Male Nursing Orderly --- 10 --- --- --- 10 Out sourcing DSC 15,000
Operation Theatre
9 1 1 --- --- --- 2 15,000
Assistant Out sourcing DSC
10 Audiometry Technician --- 2 --- --- --- 2 Contract Basis DSC 32,670
11 Electrician / Mechanic --- --- 1 --- --- 1 Out sourcing DSC 22,460
12 Attenders --- --- 4 --- --- 4 Out sourcing DSC 15,000
13 Physiotherapist 2 --- --- --- --- 2 Contract Basis DSC 35,570
14 C. Arm Technician 2 --- --- --- --- 2 Contract Basis DSC 32,670
15 O.T. Technician 2 --- --- --- --- 2 Contract Basis DSC 32,670
16 EEG Technician 2 --- --- --- --- 2 Contract Basis DSC 32,670
17 Dialysis Technician 2 --- --- --- --- 2 Contract Basis DSC 32,670
18 Anesthesia Technician 1 --- --- --- --- 1 Contract Basis DSC 32,670
19 Mortuary Mechanic 1 --- --- --- --- 1 Out sourcing DSC 18,000
Total Posts 27 27 8 1 3 66
 ABSTRACT FOR INSTITUTION WISE COMBINED NOTIFICATION:

S.No Name of the College / Hospital No.of Posts

SV Medical College, TPT
1 27
(SVMC)
SVRRGovt. General Hospital, Tpt
2 27
(SVRRGGH)
Govt. School of Nursing,
3 8
SVRRGGH, Tirupati (SON)
Sri Padmavathamma Govt. College
4 1
of Nursing, Tpt
Govt. Maternity Hospital. Tpt
5 3
(GMH)
Total Posts 66

The above posts are reserved for the categories mentioned below.

No. of vacancies
SVRRGovt. General Hospital, Tpt

Sri Padmavathamma Govt.

SVRRGGH, Tirupati (SON)

Govt. Maternity Hosp. Tpt

Govt. School of Nursing,
SV Medical College, TPT

College of Nursing , Tpt

(SVRRGGH)

S.No Name of the post

(SVMC)

(GMH)
Total

Roster Points

I. SVRRGGH- 8/100 ST-W,

9/100 OC, 10/100 BC-B-W

II. SON- 1/100 OC-W,

1 Lab Attendant --- 3 2 --- 2 7
2/100 SC-W

III. GMH- 8/100 ST-W,

9/100-OC

I. SVMC-1/100 OC-(W), 2/100

SC(W), 3/100 OC, 4/100 BC-
A(W), 5/100 OC, 6/100 OC-PH
VH(W), 7/100 SC, 8/100 ST(W),
General Duty
2 14 --- --- --- 1 15 9/100 OC,10/100 BC-B(W),
Attendant
11/100 OC, 12/100 OC(EWS),
13/100 OC, 14/100 BC-C

II.GMH-7/100 SC
 I. Padmavathi Nursing College-
3 Library Attendant --- --- --- 1 --- 1
10/100 BC-B(W)
Emergency Medicine
4 --- 1 --- --- --- 1 I.SVRRGGH-4/100 BC-A(W)
Technicain
I.SVRRGGH-6/100 OC-PH
5 DailysisTechniciam --- 1 --- --- --- 1
VH(W)
I.SVRRGGH-7/100 SC, 8/100
Data Entery
6 --- 2 1 --- --- 3 ST(W)
Operator
II.SVRRGGH SON-1/100 OC(W)
I.SVRRGGH-7/100 SC,14/100
Female Nursing BC-C,16/100 SC,20/100 BC-
7 --- 7 --- --- --- 7
Orderly A,21/100 OC-EWS ,22/100
SC(W),23/100 OC (W)
I.SVRRGGH-28/100 OC, 29/100
BC-A,30/100 OC(W),31/100 OC-
Male Nursing
8 --- 10 --- --- --- 10 PH HH,32/100 OC-EWS,33/100
Orderly
ST ,34/100 OC (W), 35/100 BC-
B,36/100 OC,37/100 OC
Operation Theatre I. SCMV-1/100 OC(W)
9 1 1 --- --- --- 2
Assistant II.SVRRGGH- 10/100 BC-B(W)

Audiometry I.SVRRGGH- 3/100 OC, 4/100

10 --- 2 --- --- --- 2
Technician BC-A(W)

Electrician /
11 --- --- 1 --- --- 1 I.SON-1/100 OC(W)
Mechanic
I.SON-1/100 OC-(W), 2/100
12 Attenders --- --- 4 --- --- 4 SC(W), 3/100 OC, 4/100 BC-
A(W)
I.SVMC- 1/100 OC-(W), 2/100
13 Physiotherapist 2 --- --- --- --- 2
SC(W)

I.SVMC- 1/100 OC-(W),2/100

14 C. Arm Technician 2 --- --- --- --- 2
SC(W

I.SVMC- 1/100 OC-(W), 2/100

15 O.T. Technician 2 --- --- --- --- 2
SC(W)

I.SVMC- 1/100 OC-(W), 2/100

16 EEG Technician 2 --- --- --- --- 2
SC(W)

I.SVMC- 1/100 OC-(W), 2/100

17 Dialysis Technician 2 --- --- --- --- 2
SC(W)

Anesthesia ---
18 1 --- --- --- 1 I.SVMC- 1/100 OC-(W
Technician -

19 Mortuary Mechanic 1 --- --- --- --- 1 I.SVMC- 1/100 OC-(W)

 The No. of vacancies is provisional and likely to increase or decrease
as per the need of the department at the time of selection.
The Merit List of this notification is valid up to 1 year for the purpose
of filling up of existing and arising vacancies as per requirement of the
Department.
The Notification may be cancelled at any time depending on exigencies.

Filled in Applications for the above posts are to be submitted at the

Office of the Principal, S.V.Medical College, Tirupati, Tirupati district on or
before 22-02-2025 by 5.00 P.M.

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.
vii. ROR will be applicable as per G.O.Ms. No.77 GAD( Service D)
Dept., Dt:02-08-2023.
viii. Regarding roster points reserved for women category the
applications from male candidates can’t be considered.
 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
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.

Educational Qualifications
Sl.No Name of the post
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.
1 Lab Attendant
4. In case of candidate possess both DMLT and B.Sc.
MLT, the maximum percentage secured in any of
the above shall be considered.

Candidate must have passed the 10 th Class or its

equivalent examination from a recognized Board.
2 General Duty Attendant

Candidate must have passed the 10 th Class or its

equivalent examination from a recognized Board.
3 Library Attendant

1. Must possess intermediate or its equivalent

2. Must possess B.Sc Emergency Medical
Emergency Medicine Technology / B.Sc Emergency Medical Services
4
Technician Technology (EMST) from a recognized institution
in India.Must be registered in APPMB.

1. Must have passed intermediate examination

or its equivalent.
2. Must possess Diploma in Dialysis Technician
course with 2 Yrs Experience from recognized
5 Dialysis Technician
hospital.
3. 3. B.Sc Dialysis Technician in from a recognized
institution.
Must be registered in APPMB
 1. Any Bachelor’s Degree in computers i.e
B.Com(Comp), B.Sc(Comp) B.Tech (Comp), etc from
any recognized institution (or)

6 Data Entry Operator

2. Any degree with one year PGDCA course in
computers from recognized institution.

1. Candidate must have passed the SSC/ 10th Class

or its equivalent examination from a recognized
Board.
7 Female Nursing Orderly
2. Must qualified in First Aid Training.
( Only Female candidates are eligible)

1. Candidate must have passed the SSC/ 10 th Class

or its equivalent examination from a recognized
Board.
8 Male Nursing Orderly 2. Must qualified in First Aid Training.
( Only Male candidates are eligible)

1. Candidate must have passed the SSC/ 10 th Class

or its equivalent examination from a recognized
Board with First Aid Certificate.
Operation Theatre 2. Must have put in a minimum service of 3 years as
9
Assistant
Nursing Orderly in any Government recognized
hospital.

1. 1. Must possess Intermediate or its equivalent.

2. 2. Must possess B.Sc., (Audiology)/ Diploma in
audiometry Technician from a recognized
10 Audiometry Technician
institution in India / B.Sc., Degree in speech and
language sciences or Bachelor in Audiology, Speech
& Language Pathology.
3.
1. Must have pass SSC or its equivalent.
2.Diploma in electrical engineering or ITI in electrical
trade. If a person possess both Diploma and ITI
11 Electrician / Mechanic
certificate, maximum percentage of marks obtained
either of the course shall be considered.

Candidate must have passed the 10 th Class or its

12 Attenders equivalent examination from a recognized Board.

1. Must possess Bachelor’s Degree in

13 Physiotherapist Physiotherapy from any recognized university.
Must be registered in APPMB.
 1. Must possess B.Sc Cath Lab Technology) from
a Recognized institution in India.
2. Two years Diploma in Cath Lab Technician Course
14 C. Arm Technician (DCLT) from any Government recognized Medical
Board with minimum 1 year experience in the
relevant filed.
3. Must be registered in APPMB

1.Must possess Diploma in Medical Sterilization

Management & Operation Theatre Technician.
15 O.T. Technician Must be registered in APPMB.

Degree in Neurotechnology from a recognized

University/Institution or equivalent
OR
i) Two-year Diploma in Neurotechnology from
16 EEG Technician
a recognized University /Institution or
equivalent with
ii) One year experience in handling EEG Machines
in a recognized Hospital.
1. Must have passed intermediate examination or
its equivalent.
2. Must possess Diploma in Dialysis
Technician course with 2 Yrs Experience or B.Sc
17 Dialysis Technician Dialysis Technician in from a recognized
institution.
3. Must be registered in APPMB

1. Must possess Diploma in Anaesthesia Technology

course from a Govt., recognized institution with 2
years experience form Govt., recognized hospital.
Must be registered in APPMB.
18 Anesthesia Technician
(or)
2. B.Sc., Anaesthesia Technology from a Recognized
institution and must be registered in APPMB.

Must possess Diploma in LME with special knowledge

in deep refrigeration plant if no suitable candidates is
19 Mortuary Mechanic available electrician may be appointed with
permission of competent authority.
 AGE:
A. Upper age limit is 42 years. Age will be reckoned as on
01.07.2025 as per G.O.Ms.No.105 GA (Ser-A) dept.,
dated.27.09.2021 with relaxations as applicable. Relaxations
will be as follows:-
B. For SC, ST, BC and EWS candidates: 05 (Five) years.
C. For Ex-service Men: 03 (Three) years in addition to the
lengthof service in armed forces.
D. For differently abled persons: 10 (Ten) years.
E. Maximum age limit is 52 years with all relaxations put together.

2. FeeParticulars:

Applicant must enclose a demand draft towards application

processing fee in favor of College Development society ,
SVMC , Tirupathi(District Name)(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. 300/-
b) For SC/ST/BC/Physically challenged candidates =Exempted
Note :-Demand Draft in respect of OC Candidate mandatory if any
candidate not enclosed DD along With applications is rejected and their
names not showing in the provisional list and also their names not
considered for entire recruitment process.

3. METHOD OF SELECTION:
Total Marks: 100
a. 75% will be allocated for aggregate of marks obtained in all the
years in qualifying examination or any other equivalent
qualification.
b. 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
 c. Service weightage only for same cadre.

d. Weightage up to 15% will be given to the candidates working on

Contract/Outsourcing 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 and GO Rt No.07 HM&FW (B2) dept.
Dt.06.01.2022. Govt.Memo.no. 3740784/B2/2020 of HM&FW
(B2) Dept., dt.14.02.2022, 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 service.
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 (DMHO / DCHS/Principal of
GMC/Superintendent of GGH) to that effect.
g. The candidates claiming service weightage shall submit original
contract/Outsourcing/ Honorarium service certificate in the
enclosed pro forma 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.
4. Tenure of appointment and important conditions:

The tenure for the contract/outsourcing posts is initially

temporary and 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 with one month notice or as per
directions of the Government from time to time. More over
any selected candidate services were not satisfied up to
 merit of the post the services of the said candidate
removed from the department.

5. Self attested copies of the certificates to be enclosed to the

filled in application:

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.
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 Latest caste certificate. In case of non
submission of valid caste certificate, the candidate will be
considered as OC.
h. Latest EWS (Economically weaker sections) certificate for
financial year 2024-2025 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
weightage (proforma is herewith enclosed).
k. Any other certificates as relevant and applicable.
l. Any certificate produced after display of provisional list is not
valid.
Any candidate produced false certificate / fake certificate and noticed
at a later date his / her service were for removed without any prior
notice, besides that said information furnished to the police authorities
for lodging criminal case.

Note: -Candidates must submit clear, visible documents (a to l of para.8),

failing which application will be summarily rejected. Applications
without the above documents will be summarily rejected.

6. Important information to candidates:

a. if selected, he/she should stay at the bonafied Head Quarters
compulsorily.
b. If selected and appointed he / she should be abide 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.

7. 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 the fair practices
followed and ensured by the department will be sufficient for
rendering such questionable means ground for debarment.
 8 DEPARTMENT’S DECISION TO BE FINAL

a. The decision of the department regarding acceptance or

rejection of the candidature, conduct of counselling 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 form by the candidate
is authentication that he / she has read the notification and
shall abide by the terms and conditions laid down there under.

NOTIFICATION DETAILS
1. Notification Date: 07-02-2025
2. Receipt of applications 07-02-2025 to 22-02-2025
3. Scrutiny 22-02-2025 to 05-03-2025
4. Publication of provisional merit list 07-03-2025
5. Receipt of grievances 10-03-2025 t0 12-03-2025
6. Publication of final merit list & selection 15-03-2025
list
7. Verification of original certificates and issue 24-03-2025 onwards
of appointment orders

Sd/- Dr.P.A.Chandrasekharan, Sd/- Dr.S.Venkateswar

Principal, SVMC, Tirupati & District Magistrate & Collector &
Member Convenor, DSC Chairman, DSC, Tirupati district.
 GOVERNMENTOFANDHRAPRADESH
COMBINED NOTIFICATION -1
HEALTH MEDICAL & FAMILY WELFARE DEPARTMENT
CONCERNED SRI VENKATESWARA MEDICAL COLLEGE
TIRUPATI/ S V R R GENERAL HOSPITAL TIRUPATI /
GOVERNMENT MATERNITY HOSPITAL TIRUPATI / SRI
PADMAVATHAMMA GOVERNMENT COLLEGE OF NUSRING
TIRUPATI and GOVERNMENT SCHOOL OF NURSING
TIRUPATI ON CONTRACT/OUT SOURCING BASIS

PRO-FORMA FOR SERVICE CERTIFICATE

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:

Urban/ Reasons Charges

Rural/Tribal Period for break /allegations
Name of the (or) Duration in service /adverse
institution From To (if any) remarks if
Covid-19 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 PRINCIPAL/SUPERINTENDENT
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 merit.
 ::1::

GOVERNMENTOFANDHRAPRADESH
SRI VENKATESWARA MEDICAL COLLEGE TIRUPATI /
S V R R GOVERNMENT GENERAL HOSPITAL, GOVERNMENT SCHOOL OF NURSING,
GOVERMENT MATERNITY HOSPITAL, and
SRI PADMAAVATHAMMA GOVT. COLLEGE OF NURSING TIRUPATI.
Recruitment to the various posts to work on contract basis/Out Sourcing basis in Govt.
Health facilities
Application for the Post of :
Affix Pass
port size
Application No.(to be filled by the office) latest
Colour
photograph

1 Name of the Candidate

2 Gender
3 Fathers Name /Husband 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 / Yes /No
Outsourcing service (enclose
6 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
10
DD.No. Date: Amount:
11 DD particulars
 Address for communication:

12

Marks obtained in the requisite Academic / Professional /

Technical qualification

Maximum Marks Year of passing Whether registered in

Qualification respective council
Marks obtained (Month & Year)
(Yes/No)

Details of Contract/Outsourcing/Honorarium service as on. .12.2024:

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

Details of School studies from 4thClass to 10thClass (for local status):

Sl. Year of
Cla Name of the School Town and
No passing
ss District
1 IV
2 V
3 VI
4 VII
5 VIII
6 IX
7 X
 DECLARATION

I, 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

 ::CHECKLIST::

S.No Enclosure Status

.

1 Marks memo of SSC (or) equivalent certificate Yes/No

2 Latest caste certificate (in case of SC/ST/BC) Yes/No

3 Latest EWS (Economically Weaker Sections) Yes/No

certificate issued by the competent authority in
case of EWS categories
4 Latest physically handicapped certificate issued in Yes/No
sadarem.
5 Ex-service men / women in armed forces certificate Yes/No
(if applicable)
6
Study certificates from Class-IV to X where the Yes/No
candidate studied.
Marks memos of all the years of qualifying Yes/No
7
examination

8 Provisional/Permanent certificate of qualification Yes/No

9 Permanent registration certificate of A.P.Para
Yes/No
Medical Board/other concerned Council related to
the post .
Service certificate issued by the concerned
10 Yes/No
government departmental institution head (if
applicable)
11 Latest passport size photograph of the applicant Yes/No
was affixed with attestation
12 Online Transaction Receipt of Application fee drawn Yes/No
in favour of College Development Society, S.V.
Medical College, Tirupati enclosed

Signature of the applicant