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L. Hemithakumari is a regular staff nurse born on February 21, 1972, with diplomas in nursing and midwifery, currently stationed at Govt. Medical College & Hospital, Villupuram. She has been appointed as a contract nurse since 2001 and became a regular staff nurse on September 1, 2006, following the completion of her probation on August 31, 2008. There are no records of break in service or unauthorized absences.

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5 views1 page

FORMAT 1

L. Hemithakumari is a regular staff nurse born on February 21, 1972, with diplomas in nursing and midwifery, currently stationed at Govt. Medical College & Hospital, Villupuram. She has been appointed as a contract nurse since 2001 and became a regular staff nurse on September 1, 2006, following the completion of her probation on August 31, 2008. There are no records of break in service or unauthorized absences.

Uploaded by

cocmentortn
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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1 Name of the Staff Nurse L.

HEMITHAKUMARI
(Only Regular Staff Nurse)
2 Date of Birth 21-02-1972
3 Qualification Diploma in Nursing & Diploma in Mid wifery

4 Present Station Govt. Medical College & Hospital,


Mundiyampakkam, Villupuram Dt.

5 Mode of appointment MRB / Through DME 1. Contract Basis Nurse – RCH Project
Selection committee / Others (to be specified) Procedings Ref. No 9157/R1/1999.
Dtd. 02.02.2001 DDHS, Madurai.

Date of Joining : 08.02.2001 FN

2. Contract Basis Nurse – DM&RHS


Procedings Ref. No 60000/N1/2/2004.
Dtd. 09.07.2004
DDHS, Madurai – Govt.PHC Vellalore

Date of Joining : 15.07.2004 FN

6 Appointment as Contract Staff Nurse:


a) Proceedings reference no. with date of DM & RHS a (i) Contract Basis Nurse – RCH Project
Procedings Ref. No 9157/R1/1999.
Dtd. 02.02.2001 DDHS, Madurai

Date of Joining : 08.02.2001 FN

a (ii) Contract Basis Nurse – DM&RHS


Procedings Ref. No 60000/N1/2/2004.
Dtd. 09.07.2004
DDHS, Madurai – Govt.PHC Vellalore

Date of Joining : 15.07.2004 FN

b) Date of Joining as Contract Staff Nurse b (i ) RCH-08.02.2001 Fore Noon


(ii) DM&RHS – 15.07.2004 Fore Noon

7 Date of joining as Regular Nurse (A copy of Contract to


regular appointment order to be enclosed)
A) Proceedings ref. No with date of DM&RHS a.) Procedings Ref. No 109550 / N2/2/2006
dtd 25.01.2007 of DM &RHS, Chennai

B) Date of Joining as Regular Staff Nurse b) 01.09.2006 Fore Noon

8 Regular Nurse appointment batch and year

9 Date of Registration in the post of Staff Nurse K Dis 89097/N2/3/2010 dtd. 12.01.2011 of the
(A copy of Regularisation order to be enclosed) DM&RHS, Chennai

10 Date of completion of probation 31.08.2008 Afternoon

11 Break in service, if any No

12 Unauthorised absence, if any No

13 Any other remarks -

FORMAT FOR UPDATION IN CNL CNL No:

SIGNATURE OF THE APPLICANT

DECLARATION
I Certify that the supportive documents have been verified and declare that the above details are true to the
best of my knowledge and as per Records
SIGNATURE OF THE DEAN/JDHS/DDHS
HEAD OF INSTITUTION

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