From: To,
Dr.______________________ The District Medical and Officer,
Medical Officer, ____________ District
PHC/UPHC: _________________, _________District.
Respected Madam,
Rc.No. Spl/PHC/ /2022, Dated: .02.2022
Sub: Estt., – Special intensified in-service GNM Training to the MPHA(F) at DME/APVVP/Hospitals on one time measure selection of candidates – Application of MPHA(F) for willingness to undergo to Special in-service GNM training course – Submitting Request – Reg.
Ref: 1. Rc.No. HMF04-11021 (31)/6/2022 EST SEC- CHFW, Dated: 05.02.2022 of the commissioner of Health & Family welfare, AP., Mangalagiri, Guntur read with Go.Ms.No.05 HM&FW (G1) Dept., Dated: 24.01.2022.
2. Rc.No. Spl/E3/2022, Dated: .02.2022 of the District Medical and Health Officer, ___________
3. Application of ___________________________MPHA(F), Dt: .02.2022.
* * * *
I herewith submitting the application of _______________________, MPHA(F) (Regular / Contract) working at Sub-Centre, ____________________, of PHC, __________________, ________________ District received in the reference 3rd cited where in the individual has given willingness to undergo special intensified in-Service GNM Training at Director of Medical Education , APVVP Hospitals as one time measure called as per references 1st and 2nd cited.
Prescribed proforma particulars of the above individual are submitted to taking necessary action in this regard.
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Sl. No |
Name of the MPHA(F) and Place working |
Dated of Birth |
Date of 1st appointment |
Date of Regularisation and declaration of probation |
Left Over service |
Social status |
Academic Technical Qualification |
Remarks |
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1 |
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Signature of the Medical Officer
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