APPLICATION FORM FOR EMPLOYMENT IN ECHS

POST APPLIED FOR_________________________________

Name of Polyclinics applied for__________________________
Affix recent
1. Name __________________________________ passport size
(If Ex-serviceman No _______________ Rank________ photographs
Arms/Service ____________ Unit last served_________
2. Date of birth __________________________________
3. Sex: M/F __________________________________
4. Postal Address_________________________________
_____________________________________________
Pin_____________Mob No__________________ E-mail ID_______________

5. Education Qualification (Phtocopies duly attested to be attached)

Qualification Year of Place of No of % marks
Passing Passing Attempts
(a)
(b)
(c)
(d)
(e)

6. Work experience(Experience certificate must be attached for consideration)

Place of work/Hospital Period of Employment Reason for leaving to Job

7. Registration No and date of registration with Indian/State Medical Council

____________________ (Photocopy of registration to be attached).

8. Honours and Awards(Professional & Service)

9. Details of previous service in Army/Central/State Govt (Photocopy of ESM PPO

& Discharge book to be attached duly attested).
10. Total pd of serving (including SSC if any)_________________________
11. Details of Previous service if any with ECHS and reason for termination
_____________________________________________

DECLARATION

1. I hereby solemnly declare that all the statement made in the above application
are true and correct to be best of my knowledge and belief.

2. I fully understand and that in the events of any information furnished being found
false or incorrect, action can be taken against me.

Place :___________________ Signature___________________

Date :___________________ Name of applicant____________

GENERAL INSTRUCTIONS
1. Age:- Employment age should be as mentioned at Appx 'A' & Appx 'B' below.

2. Contractual Terms & Conditions : The contractual employment will be for a period
of one year April to 31 March subject to review of their conduct and performance during the
employment. The contractual employees will not be entitled to any allowances, financial
benefits or concessions as admissible to Govt employees. The detailed terms and
conditions for employment are available with ECHS Cell, Station Headquarter, Delhi Cantt-
110010 (Phone No 011-25694821 & Mobile No 8448198118) and can be checked by
applicants.

3. Working hours. The working hours for staff (less Ser 1 to 2) would be 48 hours per
week (8x6) from Monday to Saturday and Sunday will be holiday. For specialists (Medical
Specialist & Gynecologist) the working hours would be 30 hours per week (5x6) from
Monday to Saturday and Sunday will be holiday.
4. Leave. Admissible 2.5 days for every completed month during the contractual
period which will lapse, if accumulated, at the end of six months. Entitled leave will be
besides, Sundays & Gazetted Holidays.

5. Termination of Services. Contract can be terminated by either side by giving one

month’s notice.

6. The interview for all above categories will be held at HQ Delhi Area, Delhi Cantt.
The desired candidate will submit Application form alongwith copies of
Academic/Professional/ Work experience certificates, Medical Council Registration, Copy of
PAN Card & Residence/Address proof duly self attested alongwith one pass port size
photograph by 09 Jan 2023 the latest at ECHS Cell, Station Headquarter, Delhi Cantt.
Original copies of certificates should be carried on the date of interview for verification.
-------------------------------------------------------------------------------------------------------------------------
The candidates who were earlier employed in ECHS but whose services were
terminated/ not extended for the second year employment need not apply.
 MEDICAL FITNESS CERTIFICATE
(FOR GOVT SERVICE / NON GOVT SERVICE)

1. I, do certify that have examined No ________________ Rank _________

Name _____________________ S/O, D/O, W/o ____________________________
a candidate for employment as (Name of Post) _____________________ has been
medically examined and found to be physically & mentally fit to perform his/ her
duties in ECHS Polyclinic.

2. His/her age as on 01 Apr 2023 is ____ years as per date of birth

_____________ recorded in the documents.

Signature of Candidate

Sig of MO with Stamp _______________

Place : Date :

COUNTERSIGNATURE OF SEMO / CMO

Place : New Delhi

Dated :
 SEQUENCE OF DOCUMENTS

Details of Documents Required (One set of Photocopies)

1. Aadhaar Card.

2. PAN Card.

3. 10th Certificate.

4. 12th Certificate.

5. Graduation Certificate.

6. Diploma / Degree.

7. Attempt Certificate/year wise mark sheets for passing MBBS/BDS.

8. Valid Medical / Dental Council Registration Certificate.

9. Valid Driving License for LMV / HyVehs (for drivers only).

10. PPO, Discharge Book, ESM I/Card, (For ESM only).

11. Medical Fitness Certificate.

12. Experience Certificate (as applicable).

13. No Objection Certificate from current employer (if applicable).

(All documents to be attached duly self attested)

 83

Appendix ‘A’

REVISED QRs FOR EMPLOYMENT OF MEDICAL/PARA-MEDICAL STAFF

FOR EX-SERVICEMEN CONTRIBUTORY HEALTH SCHEME

Ser Cat Age Limit Basic Work Desirable Reservati Contractual

No Qualifi- experience Attributes on for fees (Per
For For cation Ex- month)
employ contra- Servicem
- ment ctual en
1. Medical 63 68* MBBS Min 05 years Merit in 60% Rs. 75000/-
Officer after MBBS PG (Amended
internship /Other vide GoI, MoD
Preferable Additional letter No
addl qualification. 22D(25)/2017/
Qualification Expe- rience WE/D (Res-I)
in of more dt
medicine/surg than 05 years 20 Nov 2017).
ery
2. Specialis 63 70* MD/MS Minimum Merit in 60% Rs. 100000/-
t in 05 years in MBBS, Merit (Amended
(Medical Specialt the Specialty in vide GoI, MoD
Specialis y after Post PG. Additional letter No
t concern Graduation qualification. 22D(25)/2017/
& ed WE/D (Res-I)
Gynaeco /DNB dt
l- ogist 20 Nov 2017).
Dental 63 65* BDS Minimum Merit in BDS. 60% Rs. 75000
3. Officer 05 years PG/ Other (Amended
work Additional vide GoI, MoD
experience qualification. letter No
Experience 22D(25)/2017/
more than 5 WE/D (Res-I)
years dt
20 Nov 2017).
4. Officer In 63 65* Graduat Minimum 5 Additional 100% Rs. 75000/-
Charge e years work managerial (Amended
Polyclinic experience in qualifications. vide GoI, MoD
Health care Experience of letter No
institutions or more than 10 22D(25)/2017/
Managerial years. WE/D (Res-I)
Positions Computer dt
qualifications 20 Nov 2017).
5. Nursing 53 58* BSc Minimum Degree in 70% Rs. 28000/-
Assistan Nursing 5 years Nursing/ any (Amended
t (Nurse) experience diploma/ Spe- vide GoI, MoD
cialty nursing. letter No
Exp- erience 22D(25)/2017/
of more than WE/D (Res-I)
10 years. dt
20 Nov 2017).
 84

(*Amended vide GoI, MoD letter No 22(72)/2017/ WE/D (Res-I) dt 18 Dec 2017).

Ser Cat Age Limit Basic Work Desirable Reservation Contractual

No For For Qualifi- experience Attributes for Ex- fees (Per
employ- contra- cation Servicemen month)
ment ctual

6. Nursing 53 58* GNM Minimum 5 Any diploma/ 70% Rs. 28100/-

Assistant Diploma/ years course (Amended
(General) Class I experience in Specialty vide GoI, MoD
Nursing nursing. letter No
Assistants Experience of 22D(25)/2017/
Course more WE/D (Res-I)
(Armed than 10 years. dt
Forces) 20Nov2017).
7. Nursing 53 58* Diploma/ Minimum Any course in 70% Rs. 28000/-
Assistant Class 5 years Ultrasound/Med (Amended
(X Ray 1Ra- experience. technology. vide GoI, MoD
Assistant/ diographer Experience of letter No
Radiogr- Course more than 10 22D(25)/2017/
apher) (Armed years. WE/D (Res-I)
Forces) dt
20Nov2017).
8. Nursing 53 58* Diploma/ Minimum Experience of 70% Rs. 28000/-
Assistant Class 1 5 years more than (Amended
(Physiot- Physio- experience 10 years vide GoI, MoD
herapist) therapy letter No
Course 22D(25)/2017/
(Armed WE/D (Res-I)
Forces) dt
20Nov2017).
9. Labora- 53 58* DMLT/ Minimum Experience of 70% Rs. 28100/-
tory Class I 5 years more than (Amended
Assistant Labora- work 10 years vide GoI, MoD
tory Tech experience letter No
Course in 22D(25)/2017/
(Armed Laboratory WE/D (Res-I)
Forces) dt
20Nov2017).
10. Dental 53 58* Diploma Minimum Experience of 70% Rs. 28100/-
Hygienist Holder in 5 years more (Amended
Dental Dental experience than 10 years vide GoI, MoD
Assistant Hyg/ in Dental letter No
Class-1 Laboratory 22D(25)/2017/
DH/DORA WE/D (Res-I)
Course dt
(Armed 20Nov2017).
Forces)

(*Age of contractual employees amended vide GoI, MoD letter No

22(72)/2017/WE/ID(Res-I) dt 18 Dec 17).
 85

Appendix ‘B’

QRs FOR EMPLOYMENT OF NON-MEDICAL STAFF FOR EX- SERVICEMEN

CONTRIBUTORY HEALTH SCHEME

Ser Category Age Limit Basic Work Desirable Reservation Contractual

No For For Qualifi- experience Ex- fees (Per
employ contr cations Servicemen month)
ment actual

1. Receptionist/- - Graduate/ Minimum Computer 70% In lieu Vac

Clerk /Data Class I 5 years qualifications (Amdt vide GoI
Entry Clerical experience. Experience letter No
Operator trade of more than 22D(04)/2018/(
(Armed 10 years WE)/D(Res-I) dt
Forces) 23 Apr 2018

2. Female 53 55 Literate Minimum Experience of 70% Rs. 16800/-

Attendant 5 years more (Amended vide
exper- ience than 10 years. GoI, MoD letter
in Civil First Aid Course No 2D(25)/2017
/ Army / WE/D (Res-I)
Health dt 20 Nov
institutions 2017).

3. Driver 53 55 Education Minimum Heavy vehicle 70% Rs. 19700/-

–8 Class 5 years driving licence (Amended vide
Class I MT experience Experience of GoI, MoD letter
driver as Driver more than No 22D(25)/
(Armed 10 years. First 2017/ WE/D
Forces) Aid Course (Res-I) dt 20
Posses Nov 2017).
a civil driving
licence

4. Peon 53 55 Education Minimum Experience of 70% Rs. 16800/-

– Class 8 5 years more than (Amended vide
GD trade service. 10 years GoI, MoD letter
(Armed No 22D(25)/
Forces) 2017/ WE/D
(Res-I) dt 20
Nov 2017).
5. Safaiwala 53 55 Literate Minimum Experience of 70% Rs. 16800/-
5 years more than (Amended vide
service 10 years GoI, MoD letter
No 22D(25)/
2017/ WE/D
(Res-I) dt 20
Nov 2017).
 94

Appendix
Refer GoI MoD letter
No.22(72)/06/US(WE)/D(Res)/Vol.IV
Dated 25th Feb 2014

QUALITATIVE REQUIREMENTS FOR EMPLOYMENT OF MEDICAL/PARA MEDICAL

STAFF FOR EX-SERVICEMEN CONTRUBUTORY HEALTH SCHEME

Ser Categ Age Limit Basic Qualification Work Desirab Reser

No ory For For Experience le vatio
Empl Contr- Attribut n
- actual es For
oym ESM
ent
1 Radi 63 70 A recognized medical At least three Merit in 60%
ologi qualification included in years MBBS,
st the first or second experience in Merit in
schedule of Part II of the the PG
third schedule (other than concerned addition
licentiate qualifications) of specialty after al
the Indian Medical obtaining the qualifica
Council Act 1956. Post tion if
Holders of educational Graduate any
qualifications included in Degree or five
Part II of the third years
schedule should also experience
fulfill the conditions after
stipulated in sub section obtaining
(3) of section 13 of the Post
Indian Medical Council Graduate
Act 1956. Diploma.
(ii) Post Graduate degree DMC
in the concerned Registration
Specialty mentioned in is a must
section A or section B of
schedule VI of Central
Health Service
Regulation 1996.
2 Labor 53 58* (i) B.Sc.(Medical Lab Minimum - 70%
atory Technology) three year
Tech Or experience as
nician (i) Matriculation/ Higher a Lab
Secondary/ Senior Assistant in
Secondary (10+2) with Medical Lab
Science from Recognized
institution/Board
(ii) Diploma in Medical
Lab Technology from a
Recognized institution.

(*Age of contractual employees amended vide GoI, MoD letter No 22(72)/2017/WE/ID

(Res-I) dt 18 Dec 17)
 95

Ser Category Age Limit Basic Work Desirable Reservat

No For For Qualification Experience Attributes ion
For Ex-
Empl Contr Servicem
oyme actual en
nt

3 Pharmacist 53 58* (i) B Pharmacy Minimum Any 70%

from a recognized three year Diploma
Institute experience /Course in
Or Specially
(i) 10+2 with Pharmacy
Science stream
(Physics
Chemistry,
Biology) from a
recognized Board.
And
(ii) Approved
Diploma in
Pharmacy from an
Institute
recognized by the
Pharmacy Council
of India and
registered as
Pharmacist under
the Pharmacy Act
1948.
4 Dental 53 58* (i) Should have Minimum Experienc 70%
Technician passed 10+2 with three year e of more
Science or experience than ten
equivalent from a in Dental years
recognized Board Laboratory
or Institution.
And
(ii) Should have
two years
Diploma in Dental
Hygienist/ Dental
Mechanic Course
Registered with
Central/State
Govt. or Dental
Council of India
5 Chowkidar 53 55 Education – Class - - 70%
8th or GD trade for
Armed Forces
personnel
(*Age of contractual employees amended vide GoI, MoD letter No 22(72)/2017/WE/ID
(Res-I) dt 18 Dec 17).