Dr. Ram Manohar Lohia Institute of Medical Sciences Faculty Recruitment PDF

Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, E-mail-directordrrmlims...

Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] Dr. Ram Manohar Lohia Institute of Medical Sciences Vibhuti Khand, Gomti Nagar, Lucknow-226010(U.P.) India Ph No.0522- 6692000, 6692101,6692120 Website- www.drrmlims.ac.in Advertisement No.- DrRMLIMS/ER/Rect-F(C)/2024/2642 Dated: 20.09.2024 Walk - In Interview for Appointment of Medical Faculty on Contractual Basis Dr. Ram Manohar Lohia Institute of Medical Sciences, Gomti Nagar, Lucknow invites eligible Indian citizens from all categories for appointment on contractual basis to the faculty posts of Professors, Associate Professors and Assistant Professors in various Broad and Super Specialty departments. For detailed information, application form, Schedule of the Walk-in Interviews, and subsequent updates, kindly visit the Institute website- www.drrmlims.ac.in. Director DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 1 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] Advt No. DrRMLIMS/ER /Rect-F(C)/2024/2642 Dated: 20 September 2024 ADVERTISEMENT FOR CONTRACTUAL FACULTY APPOINMENTS Dr. Ram Manohar Lohia Institute of Medical Science, Lucknow (DrRMLIMS) is an Autonomous Institute, established by the Government of Uttar Pradesh by an Act of UP Legislature on the lines of AIIMS, New Delhi. DrRMLIMS invites prospective candidates from all categories of eligible Indian nationals and overseas candidates with Indian nationality for the following faculty posts on CONTRACTUAL BASIS through Walk-in Interview as per following schedule. 1. Date of Publication of Advertisement. 22 September 2024 Last date for submitting Expression of Interest in appearing for Walk-in Interview through Google Form at: 2. 28 September 2024 https://forms.gle/Nbvyddm2cLNkSXBB8 (essential requirement) 3. Publication of Schedule of Walk-in Interview on the website 30 September 2024 4. Cut-off Date for determining the Eligibility and Age limit. 07 October 2024 5. Commencement of Walk-in interviews from 08 October 2024 Web link to download advertisement, copy of the Application 6. Form and view/download the Walk-in Interview Schedule and https://drrmlims.ac.in/recruitment any subsequent updates Number of Vacancies S. Associate Assistant Department Professor1 No. Professor1 Professor 1 Anaesthesiology 0 6 10 2 Anatomy 0 1 2 3 Biochemistry 0 4 12 4 Cardio Vascular & Thoracic Surgery 0 1 1 5 Clinical Hematology 1 2 1 6 Community Medicine2 0 1 4 7 Dentistry 0 1 1 8 Dermatology, Venereology and Leprosy 1 1 2 1 Posts of Professors and Associate Professors can be downgraded up to the level of Assistant Professor, in case no suitable candidates are available for the advertised senior post. Prospective Candidates are encouraged to apply for junior post for which they are eligible to apply against senior advertised posts. They will be considered if no suitable candidates are available/found for advertised senior posts. 2 One (1) post of Assistant Professor in Community Medicine is for Statistician (Assistant Professor). DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 2 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] S. Associate Assistant Department Professor1 No. Professor1 Professor 9 Emergency Medicine 1 0 1 10 Endocrine Surgery 0 1 0 11 Endocrinology 1 1 2 12 Forensic Medicine 1 1 1 13 General Medicine 1 4 8 14 General Surgery 1 4 10 15 Hospital Administration 1 2 4 16 Medical Gastroenterology (Gastro Medicine) 1 1 1 17 Medical Oncology3 1 1 1 18 Microbiology 0 2 6 19 Nephrology 1 2 0 20 Neuro Surgery 1 0 0 21 Nuclear Medicine4 0 0 4 22 Obstetrics and Gynaecology 1 2 4 23 Ophthalmology 1 0 4 24 Orthopaedics 1 3 5 25 Oto-Rhino-Laryngology 1 2 3 26 Paediatrics 1 2 6 27 Paediatrics Surgery 1 1 1 28 Pathology 0 4 10 29 Pharmacology 0 1 4 30 Physical Medicine & Rehabilitation 1 0 3 31 Physiology 0 1 3 32 Psychiatry 1 0 2 33 Radiation Oncology 1 0 0 34 Radio-Diagnosis 1 4 8 35 Surgical Oncology 1 2 0 36 Transfusion Medicine & Blood 1 4 10 Tuberculosis and Respiratory 37 1 1 2 Medicine/Pulmonary Medicine 38 Urology 0 1 0 Total 25 64 136 3 Candidates with DM in Paediatric Oncology can also apply. 4 One (1) post of Assistant Professor in Nuclear Medicine is for Assistant Professor (Medical Physicist & Radio Pharmacist). DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 3 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] Notes: 1. Posts of Professors and Associate Professors can be downgraded up to the level of Assistant Professor, in case no suitable candidates are available for the advertised senior post. Prospective Candidates are encouraged to apply for junior post for which they are eligible to apply against senior advertised posts. They will be considered if no suitable candidates are available/found for advertised senior posts. 2. One (1) post of Assistant Professor in Community Medicine is for Statistician (Assistant Professor). 3. Candidates with DM in Paediatric Oncology can also apply. 4. One (1) post of Assistant Professor in Nuclear Medicine is for Assistant Professor (Medical Physicist & Radio Pharmacist). RESERVATION Out of the total vacancies advertised, posts are Associate Assistant Professor reserved as follows: Professor Professor Scheduled Caste (SC) – 21% 5 13 28 Scheduled Tribes (ST) – 02% 0 1 2 Other Backward Classes (OBC) – 27% 6 17 36 TOTAL (SC/ST/OBC) 11 31 66 Economically Weaker Sections (EWS) – 10% 2 6 13 Reservation for candidates from SC/ST/OBC/EWS categories shall be applied as per "Uttar Pradesh Educational Institutions (Reservation in Teacher's Cadre) Act, 2021" (UP Act No. 9 of 2021), dated: 05 March 2021 and as per other relevant Govt of UP Acts, Rules, Regulations and Orders, in force. The benefit of Reservation shall be provided to the UP-Domiciled candidates ONLY on production of appropriate certificate issued by the competent authority in Govt of Uttar Pradesh jurisdiction only. Certificates for OBC and EWS categories must be issued within 6 months before the cut-off date of eligibility. The Institute reserves the right to reject the candidature of applicants, providing older certificates or consider them as UR Candidate (if otherwise eligible). Candidates, belonging to all categories can apply for all vacancies, provided they fulfill the eligibility criteria as mentioned in the advertisement. The selection would be based on the (i) position of candidate on common merit list for each cadre, (ii) number of vacancies in the department for which the candidate has applied, and (iii) the number of reserved category posts in the cadre to which the candidate belongs. There will be horizontal reservation for Persons with Benchmark Disabilities (PwBD) as per relevant Acts, Rules, Regulations and Orders, in force. DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 4 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] Eligibility Criteria A. Qualifications, Publications and other Training requirements: 1. As per NMC, Teachers Eligibility Qualifications in Medical Institutions Regulations, 2022, dated: 14/02/2022 (Notified 22/02/2022) and as per other relevant NMC/erstwhile MCI norms, as amended from time-to-time and in force as on the cut- off date of determining eligibility against this advertisement. Evidence of BCBR and BCMET Course completion is must for applicants for Associate Professor and Professor Posts as on the cut-off date for determining eligibility. 2. For Statistician (Assistant Professor): MSc (Health Statistics/Medical Statistics/Bio Statistics/Statistics) with PhD from a recognized University. 3. For Assistant Professor (Medical Physicist & Radio pharmacist): MSc (Physics/Chemistry/Biophysics)/Medical Physics/MSc with DMRIT/MSc. Nuclear Medicine) with relevant PhD degree from recognized university. B. Experience (Also see conditions in the Note): 1. Broad Specialty Departments: A total of 14, 10, 06 and 03 years of teaching experience at a recognized teaching institution, after the prescribed MD/MS/DNB/PhD degree for the posts of Professor, Professor Junior Grade (Additional Professor), Associate Professor and Assistant Professor, respectively as on the last date for submission of applications. 2. Super Specialty Departments:12, 08, 04 and 01 years of teaching experience at a recognized teaching institution, after obtaining the degree of DM/MCh/DrNB (02 years or 5 years integrated degree) in the concerned super specialty; or 11, 07, 03 and 0 years of teaching experience after obtaining the degree of DM/MCh/DrNB (03 years duration) in the respective super specialty for the posts of Professor, Professor Junior Grade (Additional Professor), Associate Professor and Assistant Professor respectively as on the last date for submission of applications. Notes: 1. All above experience should have been completed in the subject of specialty/super specialty, applied for, at NMC/erstwhile MCI/DCI permitted/approved/recognized medical/dental colleges/institutions only. For the post of Statistician (Assistant Professor) and for the post of Assistant Professor (Medical Physicist & Radio pharmacist), post-PhD teaching/research experience at SR/Tutor/Assistant Professor or Equivalent level at UGC and/or BARC/DRDO/CSIR recognized institution/lab respectively, shall also be considered. 2. For the posts of Associate Professor and Professor the total experience must include minimum 3 years as Assistant Professor and 3 years as Associate Professor respectively. DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 5 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] 3. For DNB/DrNB Candidates the Experience shall be counted from the date of equivalence of DNB/DrNB degrees with MD, MS/DM, MCh degrees as per erstwhile MCI/NMC guidelines, in force from time to time. 4. In Broad Specialty Departments, if the 1st teaching assignment (Lecturer/Assistant Professor) started after 08 June 2017, then total experience must include 1 (one) year Senior Residency in the subject applied for. [Reference: MCI Minimum Qualifications for Teachers in Medical Institutions (Amendment) Regulations, 2017, dated: 05 June 2017] 5. In addition to the above, the candidate should also fulfill all the criteria mentioned in the Minimum Qualifications for Teachers in Medical Institutions Regulations, as laid down by the erstwhile Medical Council of India, New Delhi/National Medical Commission, New Delhi, as amended from time-to-time and in force as on the cut-off date of determining eligibility against this advertisement. C. Upper Age Limit (as cut-off date of determining eligibility): Post applied for Age Limit Assistant Professor/ 50 years as on the last date of application Associate Professor/ (Relaxation will be admissible as per U.P. Professor Junior Grade (Additional Govt. Rules for reserved category candidates). Professor) Professors No upper age limit, however, retirement age is 65 years. Faculty, retiring at the age of 65 years from a medical college/institute, may be considered for re-employment till maximum age of 70 years, as per the existing Government of U.P. rules in such cases. D. Pay-Scale/Remuneration (for contractual candidates): Consolidated Post monthly remuneration Professor ₹. 2,20,000/- Professor Junior Grade (Additional Professor) ₹. 1,80,000/- Associate Professor ₹. 1,60,000/- Assistant Professor ₹. 1,20,000/- Notes: 1. For appointees on Contractual basis, no additional allowances/perks shall be admissible. 2. For post-VRS candidates, remunerations shall be governed by the UP-State Govt. Rules in this regard. 3. For faculty, retiring from medical college/institute appointed on re-employment basis, the remuneration received shall be last pay drawn minus pension, as per the existing DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 6 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] Government of U.P. rules in such cases. GENERAL TERMS & CONDITIONS 1. The vacancies shown are provisional and subject to variation. The Director reserves the right to vary the number of vacancies without any prior notice. 2. In case suitable candidate are not found for the advertised senior post (Professors/Associate Professors), the post may be downgraded and filled on the recommendations of the Selection Committee as it may deem fit. 3. Any candidate applying for higher post if not found eligible for that post, can be called for interview for the lower post in that discipline, for which he/she is otherwise eligible, as per the above clause. 4. Age, experience, and all other eligibility conditions will be counted as on the cut-off date of determining eligibility. 5. The appointment shall be on the whole-time basis at the Institute and the appointee, after joining, shall not accept any other assignment, paid or otherwise and shall not engage himself/herself in private practice of any kind. 6. Exceptionally qualified candidates having meritorious records and/or specialized experience in relevant field/thrust area or higher qualifications shall be preferred. 7. Candidates not registered with the Medical Council Uttar Pradesh or the NMC/erstwhile MCI, if selected, need to get registered (both UG and PG degrees) with either of the above regulatory/statutory bodies before joining. Proof of such application shall have to be submitted at the time of joining along with other state registration. 8. For candidates who retired from medical college/institute and considered for appointment on re-employment basis, the period of contractual appointment shall be 1 year OR till maximum age of 70 years OR till a regular candidate join, whichever is earlier. For all other candidates, contractual appointment shall be for a period of 1 year OR till the age of superannuation (i.e. 65 years) OR till a regular candidate join, whichever is earlier. 9. Candidates for contractual posts and in employment should attach NOC from the current employer where they are serving along with the application/produce NOC at the time of walk-in interview. 10. Undertaking: Before joining, the selected candidate shall have to submit an undertaking that he/she would not claim continuation of his/her appointment on expiry of contract or claim for regular appointment along with other declarations. DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 7 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] HOW TO APPLY Important: 1. The detailed advertisement, along with soft copy of application form, schedule of the walk- in interviews and subsequent communication/updates related to this advertisement shall be available on the Institute’s website https://www.drrrmlims.ac.in/recruitment. 2. All prospective candidates, desirous of applying for the advertised vacancies, MUST submit Expression of Interest through the Google form at: https://forms.gle/Nbvyddm2cLNkSXBB8 within 1 week of publication of the advertisement, that is 28 September 2024. The interviews shall ONLY be scheduled for the departments where Expressions of Interest are received by the due date. 3. Application Fee, amounting to ₹.1,000/-plus ₹.180/- (GST), that is total of ₹.1,180/- [Rupees One Thousand One Hundred Eighty only] for applicants from within the country and US$ 50.00 (US Dollar Fifty Only) or equivalent in Indian Rupees for overseas candidates, is to be paid online through UPI (BHIM) or Net-Banking (IMPS/NEFT) before filling of the application form. The application fee once remitted shall not be refunded in any circumstances. If the fee is not deposited in the bank before the before the walk-in interview, his/her candidature will not be considered. It is the responsibility of the candidate to deposit the fee in the bank before filling of the application. NO CASH PAYMENT OF FEE IS ALLOWED. Depositing the fee in cash shall not be taken into consideration and shall render the candidature rejected with forfeiture of cash deposit. 4. Bank Account details for Application Fee payment: Account Title: Dr RML Institute of Medical Sciences Academic Account Bank and Branch: Indian Overseas Bank, Vibhuti Khand, Lucknow. Account No.: 177301088888888 IFS Code: IOBA0001773 Details to be entered: CFR24 5. All candidates must fill the Amount of fee paid, Date and Transaction Reference No. of application fee payment in the application form and attach Bank acknowledgement copy/screenshot of successful fee payment with the application form. 6. Self-attested copies of documents in support of age/date of birth, educational qualifications, experience; publications (as per latest NMC norms), medical registrations (both UG/PG), caste (where applicable), most important: NOC from the current employer, and print-out of the application fee payment proof must be enclosed with the hardcopy of filled application form. 7. The candidates, with complete application form, self-attested documents, as above and originals for verification, must present him/herself at the office of: DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 8 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] The Director Administrative Building Dr RML Institute of Medical Sciences Vibhuti Khand, Gomti Nagar Lucknow – 226010 U.P. On the date and reporting time as mentioned in the notification for walk-in interview schedule, uploaded on the Institute website. Candidates need not send application form by post. Important: In the absence of Original Documents for verification the candidates shall not be allowed to appear in the interview. 8. If, at any stage, any desired/necessary information is found suppressed or misrepresented by the candidate, his/her candidature can be cancelled and other appropriate action like countervailing etc. can be initiated against him/her. 9. Candidates are directed to preserve the information (in the form of soft and hard copy for future reference) rendered at each step of application (eg- application, application fee payment etc.). 10. Candidates who wish to apply for more than one post should apply separately for each post and pay the application fee for each post and submit the complete application form separately for each post. Please Note: Our preferable mode of communication is through email. In case any enquiry required against the advertisement please contact on [email protected] OR [email protected]. Any communication sent from the Institute shall be from this email only. Please save this email address as safe address in your email service so that the email from the Institute doesn’t land in Spam/Junk folder in your email. General Instructions 1. Incomplete applications will not be considered and will be rejected summarily. The Institute shall not be responsible if application of any candidate is rejected based on incomplete or faulty information furnished in the application form. No refund of fee shall be applicable in such cases. 2. The candidature would be cancelled if found to be involved in acts of misconduct, suppression of any important information, pending prosecution/criminal suit, conviction, having more than one living wife/wife of a person with more than one living wife, misrepresenting facts and making recommendations regarding the selection of candidates. The Institute will have the right to debar the candidate from this recruitment and all further recruitment and selections of the Institute. DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 9 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] 3. The candidate will be required to possess the advertised essential qualifications, experience by the cut-off date for determining eligibility. 4. Candidates should go through the detailed advertisement carefully and apply for any post only if they are eligible for the post as per the terms and conditions of the advertisement. They should satisfy themselves regarding their eligibility for the post applied and must fulfil all the eligibility criteria as on the cut-off date for determining eligibility, failing which their application will be rejected, and application fee shall not be refunded. 5. The candidate MUST bring duly signed application form along with proof of application fee, Most important: NOC from the current employer at the time of walk-in interview. 6. It is candidate’s responsibility to make him/herself available at the Institute as per Walk-in Interview schedule, uploaded on the website. The Institute shall not be responsible for candidate’s failure to appear for the interview on the scheduled date, time and venue. Other Conditions 1. Canvassing of any kind will lead to disqualification. The prescribed qualification is minimum and mere possessing the same does not entitle any candidate to be called for interview or selection. 2. The candidate should not have been convicted by any Court of Law. 3. The selected candidate is expected to conform to the rules of conduct and discipline as applicable to the Institute employees. 4. In case, any information or declaration given by the candidate is found to be false or if the candidate has wilfully suppressed any material information relevant to this appointment, he/she will be liable to be removed from the service and/or any action taken as deemed fit by the appointing authority. 5. The decision of the competent authority regarding the selection of candidates will be final and no representation will be entertained in this regard. 6. Incomplete applications in any aspect will be summarily rejected. 7. The Selection Committee is within its rights to NOT recommend any candidate for appointment or recommend lesser number of candidates for appointment than the number of vacancies advertised. 8. The Director, DrRMLIMS reserves the right of any amendment, cancellation, and changes to this advertisement or subsequent appointment letter in whole or in part without assigning any reason or giving notice. 9. Joining of selected candidates is subject to his/her being declared medically fit by the competent Medical Board constituted by the Institute. DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 10 of 11  Dr. Ram Manohar Lohia Institute of Medical Sciences, Vibhuti Khand, Gomti Nagar, Lucknow-226010 Phone: 0522- 6692068, 6692000/Extn 2229 Website- www.drrmlims.ac.in, [email protected] 10. In case of any inadvertent mistake in the process of selection which may be detected at any stage even after the issue of appointment letter/joining by the candidate, the Institute reserves the right to modify/withdraw/cancel any communication/offer made to the candidate. 11. The applicant will be responsible for the authenticity of all the information and documents submitted by him/her along with the application form. Submission of any false and/or suppression/concealment of facts shall lead to rejection/cancellation of selection/recruitment of the applicant. 12. No TA/DA will be paid for appearing in the interview. 13. Jurisdiction for any dispute will be subject to competent Courts at Lucknow only. Sd/- DIRECTOR Dr RML Institute of Medical Sciences Lucknow – 226010 UP DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 11 of 11  Dr. Ram Manohar Lohia Institute of Medical sciences Lucknow (An Autonomous Medical Teaching Institute funded by the Govt. of Uttar Pradesh) APPLICATION FORM for CONTRACTUAL FACULTY POST Advertisement No. DrRMLIMS/ER /Rect-F (C)/2024/2642 Dated: 20 September 2024 Please type in Bold or neatly fill in Capital Letters 1. Post Applied for: ________________________________ against the advertised post of ___________________________________ in the Affix Latest Passport Size Department of _______________________________________. Photograph 2. Application Fee Payment Details a. Amount of Fee paid (₹.): 1,180/- b. Date of Payment: ________ August 2024. c. Mode of Payment: UPI (BHIM)/Net Banking d. Transaction Ref No. ______________ (Proof attached Encl No. ____) WITHOUT VALID PROOF OF PAYMENT THE APPLICATION SHALL NOT BE CONSIDERED. 3. Name of the Applicant: _____________________________________________ 4. Father’s/Husband’s Name: ___________________________________________ 5. Category: a. SC/ST/OBC/EWS/UR: __________ (Proof attached Encl No. ___) b. Are you a person with benchmark disability and wish to apply under that category: YES/NO (Proof attached Encl No. ___) 6. Date of Birth (dd-MMMM-yyyy): ______________ (Proof attached Encl No. ___) a. Age in completed years as on the Last Date of Advertisement: ________ years. 7. Gender: FEMALE/MALE/THIRD. 8. Marital Status: UNMARRIED/MARRIED/WIDOW/WIDOWER 9. Permanent address: ____________________________________________________ __________________________________________________________________________ __________________________________________________________________________ District: __________________ State: ________________ PIN Code: _______________ 10. Communication Address: _______________________________________________ ____________________________________________________________________ ____________________________________________________________________ District: __________________ State: ________________ PIN Code: _______________ 11. Contact Details: DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 1 of 5  a. Mobile No(s).: ___________________________________________________ b. Email (write in Capitals): ___________________________________________ c. Work Landline Phone (with STD Code): _______________________________ d. Home Landline Phone (with STD Code): ______________________________ 12. Nationality: ___________________________________ (By Birth or Naturalization) a. State of Domicile: _________________________ Since: __________________ 13. Educational Qualifications (from Matriculation onwards): Medical S. Qualification No. of Year of %age of Council/NMC Encl (strike out that is College/Board/University Extra Regn No. with No. Passing marks No. not applicable) Attempts date and State A B C D E F G H 1 Matriculation N/A (Class X) 2 Intermediate N/A (Class XII) 3 MBBS 4 MD/MS/DNB - 5 PhD - 6 DM/MCh/ DrNB - 7 Others Note: 1. Please attach self-attested copies of Certificates of Class 10th and 12th and Marks Sheets and Degrees of MBBS onwards. Write relevant Enclosure numbers in column H. 2. Insert/Add additional Rows as needed. 14. Other Courses (Compulsory for Associate Professor/Professor): a. BCBR proctored examination passed (Yes/ No) (Proof attached Encl No. ___) b. BCMET completed (Yes/ No) (Proof attached Encl No. ___) DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 2 of 5  15. NMC/MCI recognized Teaching Experience (from Post- PG qualifying degree Senior Residency Onwards). S. Name of Total Encl Designation Department From To No. Institution (DD-MM-YY) (DD-MM-YY) Experience No. (YY-MM-DD) A B C D E F G H 1 Senior Resident 2 Tutor/Demonstrator (post qualifying degree only) 3 Assistant Professor 4 Associate Professor 5 Professor TOTAL EXPERIENCE Years Months and Days: Note: 1. Please attach self-attested copies of Experience Certificates. Write relevant Enclosure numbers in column H. 2. Insert/Add additional Rows as needed. 16. Research Publications: Publication Info in Vancouver style Ref S. Indexing (type your name in bold font and put * on Type of Article Encl. No. Agency corresponding author name) No. A B C D E 1 2 Note: 1. Please attach 1st page of publication and proof of indexing from indexing agency website (NOT from Journal Website) and write Encl Ref No. in Column E. 2. Insert/Add additional Rows as needed. DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 3 of 5 17. Present Employment a. Designation: _________________________________________________________ b. Department: _________________________________________________________ c. College/Institution (complete address): ____________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ d. Working on current post since (Date): ____________________________________ e. NOC Enclosed: YES/NO/NA f. Present Annual Pay (₹.): ______________________________________________ 18. Are you willing to be considered for a junior post than the one you have applied if the Selection Committee so recommends: YES/NO. 19. Minimum notice period you will need to join service, if selected: _________________ (days/weeks/months) 20. Any other information worth mentioning: UNDERTAKING I certify that the particulars and information, furnished above are true, correct, and nothing has been concealed in all respects to the best of my knowledge and belief. In the event of any information being found incorrect/misleading/misrepresented at any stage, my candidature/selection/services may be rejected/terminated without prejudice to the right of the Institute to initiate appropriate civil/criminal proceedings against me any appropriate court of law. Place: Signature: Date: Name: ____________________________ DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 4 of 5 21. Document Checklist: S. Attached Encl Ref Nos. Description No. YES/NO/NA From – To 1. Proof of Application Fee Payment 2. Valid Reservation Category Certificate 3. Valid Certificate of Benchmark Disability 4. Date of Birth Certificate 5. Educational Qualification Certificates and Marks Sheets 6. Medical Council/NMC Registration Certificates (All Medical Qualifications) 7. BCBR Completion Certificate 8. BCMET Completion Certificate 9. Teaching Experience Certificates 10. Copies of Publications (1st page) and Indexing Documents 11. Current Employment/Experience – cum No Objection Certificate 12. Govt issued Id and Address Proofs Signature: ______________________ Name: _________________________ DrRMLIMS, Lucknow Contractual Faculty Recruitment – 2024 Page 5 of 5