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PIS Data Entry PIS Search Edit PIS Data entry Step:1 (Form-A) Personal Information System for Medical Staff Fill in Your Personal Record: A Employee Code (Treasury) : Cadre Seniority No. : Name : Designation Cadre Select Designation Cadre General Specialist Job Type : - Please Select - Regular Contractual Designation : - Please Select - MOIC Surgeon Physician Anaesthiest Pathologist MO Orthopaedician ENT Surgeon Eye Specialist LMO Paediatrician SMO CMS EMO Radiologist Jt Director Dermatologist Gynaecologist Ophthalmologist EMO Epidemiologist Deputy CMO-I Deputy CMO-II Deputy CMO-III Deputy CMO- NRHM DTO MOcH DMO Director General Director Medical Health Director Plan, Budget & Store Director National Program Director Doon group Director Garhwal Mandal Director Kumaon Mandal Additional director Administration Additional Director Health Additional Director Medical Health Additional Director Plan Additional Director Store Additional Director National Program Additional Director Family planning Additional Director Medical education Joint Director Garhwal Joint Director Kumaon Asst Director Malaria Garhwal Asst Director Malaria Kumaon Joint Director Administration Joint Director Dental Joint Director IDSP Joint Director ………….. Joint Director Malaria Joint Director Plan Joint Director Store Joint Director Medical edication Joint Director Medcal Health Joint Director Medicolegal Joint Director Para medical/ Nursing Joint Director AIDS Joint Director National Programm Joint Director Eye Joint Director Leprosy Joint Director Tuberculosis Joint Director IEC Joint Director RCH Joint Director Immunisation Joint Director Training Joint Director Family Planning Joint Director Rural Health & Communicalble Diseas Joint Director Evaluation Assistant Director Rural health and Communcable Di Assistant Director RTI Assistant Director Plan Assistant Director Store Assistant Director Medical education Assistant Director Disaster Management Assistant Director Medical Health Assistant Director PPP Assistant Director National Programm Assistant Director IDD Assistant Director Eye Assistant Director Tuberculosis Assistant Director NRHM Staff Officer CMO Dehradun CMO Pauri CMO Uttarkashi CMO Chamoli CMO Rudraprayag CMO Haridwar CMO US Nagar CMO Nainital CMO Pithoragarh CMO Champawat CMO Almora CMO Bageshwar CMO Tehri Dy CMO-I Dy CMO -II Dy CMO-III DTO Dy CMO NRHM Dy CMO Malaria Dy CMO Leprosy Medical superintendent Principal Training Center Dehradun Principal Training Center Haldwani Dental Surgeon Present Position Held : - Please Select - Medical Officer SMO-I SMO-II Asst Director Joint Director Additional Director Director Director General Additional Charge : Father/Husband's Name : Mother's Name : Date Of Birth : Category : - Please Select - GEN SC ST OBC Other Gender : - Please Select - MALE FEMALE Marital Status : - Please Select - Married Un-Married Divorce Date of Appointment : Date of Joining : Date of Retirement : Qualification : - Please Select - MBBS BDS BAMS MD Physician Please Specify Higher Qualification : - Please Select - MD Medicine MD Psychiatry MD Obs & Gynae MD Paediatrics MD Anaesthesia MD PSM MD Pathology MS MS Obs & Gynae MS Ophthamology MS orthopaedics DGO Dip Psychiatry Diploma Pathology Diploma Paediatrics Diplomna Orthopaedics Diploma Community Health Diploma in Child Health MPH MBA PG Diploma in HA MHA Diploma Ophthalmology to select more than one field, press ctrl & then select Contact Details: Telephone : Mobile : Email : Present Address Details: Street : City : District : - Please Select - Dehradun Tehri Pauri Nainital Almora Pithoragarh Udhamsingh Nagar Champawat Chamoli Uttarakashi Rudraprayag Haridwar Bageshwar State : - Please Select - Uttarakhand Permanent Address Details: Same as Present Address Street : City : District : State : Present Posting Details: Type of Posting : - Please Select - Clinical Administration Training Center District : Select District Almora Bageshwar Chamoli Champawat Dehradun Haridwar Nainital Pauri Pithoragarh Rudraprayag Tehri Udhamsingh Nagar Uttarakashi Type of Facilities : Select Facilties CHC PHC APHC SAD Distt. Hospital Female Hospital Base Hospital Combined Hospital Sub District Hospitals Hospitals : Select Hospital Administration : Select Administration DGMH&FW Director Garhwal(Pauri) Director Kumaun(Haldwani) CMO Almora CMO Bageshwar CMO Chamoli CMO Champawat CMO Dehradun CMO Haridwar CMO Nainital CMO Pauri CMO Pithoragarh CMO Rudraprayag CMO Tehri Garhwal CMO Udhamsingh Nagar CMO Uttarkashi SCOVA HIV/AIDS Health System Training Center : Select Center Dehradun Haldwani Date of joining of present posting : Current Pay Scale : - Please Select - 15600-39100 37400-67000 Grade Pay - Please Select - 5400 6600 7600 8700 8900 10000 12000 Spouse Details: Spouse Name : Status : - Please Select - Government Employee Private House Wife Other Please Specify Spouse Employee Code : Spouse Department : Spouse Place of Posting : Diseases Section (1) Diseases : Select Disease Cancer Blood Cancer AIDS/HIV+ Heart Diseases/ By pass surgery Kidney Diseases for both Tuberclosis/SARS Diseases Section (2) - Handicapped Diseases : Select Disease Total Blindness Legs without both feet's/incomplete foot/paralysis Upload of Diseases certificate facility Need (Scan and upload) :
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