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TATA MEMORIAL CENTRE
टाटा स्मारक केंद्र
A Grant-in-Aid Institution Under Department of Atomic Energy Govt.of India
प ऊ वि भारत सरकार का एक सहायता अनुदान प्राप्त संस्थान

Personal Information

APPLICATION SUBMITTED

Application No

M/VAR/2023/001/17385

Advertisement No

VAR/2023/001

Post Applied For

MEDICAL OFFICER E (ORAL SURGERY)

You Belongs To

OPEN

Name

Dr. ANUPAM TIWARY

Date Of Birth

26-04-1982

Age as on Advertisement Last Date

40 Years 9 Months 20 Days

Gender

Marital Status

Married

Religion

HINDU

Nationality

India

Parent/Spouse Name

DR.R.TIWARY

Present Address

501, MADHUKUNJ, L.C. ROAD, DHANBAD-826001

City

DHANBAD

Pin code

826001

State

Jharkhand

Tel No

9523177396

Mobile No

9523177396

Email

dranupamshandilya@gmail.com

Permanent Address

HOUSE NO. 408-B,SHATADAL ENCLAVE,NORTH OFFICE PARA, DORANDA,RANCHI

City

RANCHI

Pincode

834002

Pancard No

AGNPT7193G

Whether Physically Handicap

Whether Ex Serviceman

Employee Type

OTHER

Project / Agency Name

CCNO

Worked From

Worked To

Have You applied for employment in TMC

Education Details

Sr.No	Degree	Subject	Institute/college	University	Duration of Course	Course Type	Year/Month	Percentage	Result Awaited	Certificate Enclosed
1	MDS ( ORAL & MAXILLOFACIAL SURGERY)	ORAL & MAXILLOFACIAL SURGERY	A.J. INSTITUTE OF DENTAL SCIENCES, MANGALORE	RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE.	3 YEARS	FULL TIME	JUL2015	61.00	N	Y
2	training in CPR	CARDIOPULMONARY RESUSCITATION- BLS	NIGHTANGLES LIFE SAVING SERVICES,BANGALORE	NA	1 MONTH	PART TIME	FEB2006	50.00	N	Y
3	SHORT TRAINING IN ORAL&MAXLLOFACIAL ONCOSURGERY	ORAL ONCOSURGERY	REGIONAL CANCER CENTRE TRIVANDRUM, GOVT. OF KERALA.	KERALA UNIVERSITY	2 MONTHS	PART TIME	FEB2014	10101.00	N	Y

Qualificational / Educational Certificates Attached by Candidate

Medical Council Registration / Authority Details (Only for Medical, Para Medical Candidates )

Registration Category :

DCI KarnatakaState

Registration Number :

17810A

Current Employement Details

Whether Proof for Current Employment Attached:

YES

Whether Applicant is in service of Govt./ Semi.Govt./ PSU:

YES

Whether application is routed through proper channel :

YES

Notice require for joining the post :

15 days

Particular's about Pension/ Provident Fund. etc. :

Gap In Experience

GAP IN EXPERIENCE :

YES

GAP INFORMATION :

DUE TO DELAY IN FUND ALLOCATION AND SUBSEQUENT DELAY IN RECRUITMENT BY THE ORGANISATION.

Professional/Teaching Experience Details (Training period will not counted as Experience)

Sr.No	Post	Specialization	Institute	University	Salary	From Date	To Date	Total Years	Total Months	Total Days	Experience Type	Certificate Enclosed	Service Type
1	SENIOR LECTURER	ORAL & MAXILLOFACIAL SURGERY	MTHILA MINORITY DENTAL COLLEGE & HOSPITAL,DARBHANGA,BIHAR	L.N. MITHILA UNIVERSITY, DARBHANGA,BIHAR	30000	03-08-2015	30-12-2016	1	4	27	Y	Y	Private
2	DENTAL OFFICER ( SPECIALIST ORAL SURGERY)	ORAL & MAXILLOFACIAL SURGERY	ECHS c/o MILITARY HOSPITAL RANCHI, Head and Neck ENT DEPT.,STATION HEADQUARTER,RANCHI	NA	75000	06-02-2017	03-12-2021	4	9	27	N	Y	Govt.
3	DENTAL OFFICER ( SPECIALIST ORAL SURGERY)	ORAL & MAXILLOFACIAL SURGERY	ECHS Dhanbad,Station Headquarters Ramgarh, Ministry of Defence,Govt.of India	NA	75000	01-04-2022	15-02-2023	0	10	14	N	Y	Govt.

Total Experiene : 7 Years, 1 Months, 8 Days

Experience Certificates Attached by Candidate

Guide or Examiner for Any Subject

Are you, or were you as a recognized guide or examiner for any subject :

Name of Subject :

University :

Publication and Research Work



Type of Publication	No. of published or Accepted	No. as First Author or Corresponding author
Original Research Papers in Indexed Journals	7	2
Other publications in Indexed Journals	1	0
Research Papers in non-Indexed Journals	0	0
Text books or Monographs or Thesis	1	1
Chapters in text books or Monographs	4	2
Abstracts in Indexed Journals	0	0
Unpublished abstracts presented at conferences	2	2

Research Project

There are no Research Project details to display.

Other Information

Awards,Fellowships and Membership of Professional bodies (max 200 Words ) : member of Association of Oral and Maxillofacial surgeons of India.

Membership of professional bodies(max 200 Words ) :

Reviewer or Member of Editorial Board of Indexed Journals or Peer-review Committees ofNational Bodies, Institutions, etc.(max 200 Words ) : Member, editorial board of following journal :The Journal of Advanced Dental Sciences.

Service: Contributions towards setting up of new unit/ specialty/ service/ laboratory/programs/ or Therapeutic/ diagnostic procedures developed or patents obtained (enclose supporting documents) . (max 200 Words ) :

Contributions in Community or National Programs. (max 200 Words ) :

Describe (in 150 words) your most notable contribution in Service, Teaching or Research. : 1. Starting up oral cancer screening and biopsy unit at ECHS ( A Govt. of India Organisation) 2. Conducting of educational awareness program regarding ill effects of tobacco related products and screening camps for oral cancer in Darbhanga district of Bihar state.

Any other information you wish to add :

Refree Details

Sr.No	Name	Designation	Address	Tel No	Fax No	Email
1	MAJ. GEN.(Dr.) Sabarigirish K (Retd.)	Additional Director General Armed forces Medical Services,Indian Army	Office of ADGAFMS,L-BLOCK,New Delhi	7760898410	-	girishks_1962@yahoo.com
2	Prof. Nandesh shetty	PROFESSOR DEPT. OF ORAL SURGERY	A.J. INSTITUTE OF DENTAL SCIENCES, KUNTIKANA, MANGALORE-575004	9845197958	-	nandeshshetty05@gmail.com
3	DR. AKSHAT MALIK	CONSULTANT ENT SURGEON	MAX SUPERSPECIALITY HOSPITAL, SAKET, NEW DELHI-110017	9810772629	-	dr.akshatmalik@gmail.com

List of Documents Attached By Applicant

Date of Birth Proof Attached by Candidate

Declaration by Applicant

I hereby declare that all the information and particulars given by me in this application are true and correct to the best of my knowledge. I am aware that if any of the above statements are found to be incorrect or false or may material information or particulars of relevance have been misstated, suppressed or omitted, I am liable to be disqualified for training and if selected, my appointment will be liable to be terminated.

Applicant's Signature

Important Instructions

Incomplete forms will be rejected.

Please fill up all items in the application form, attach relevant documents and certificates and sign the declaration.

All certificate copies will be verified with the originals at the time of interview.

Suppression of any information will lead to termination of service without any intimation.

Any doubts regarding the post / form may be clarified by emailing to : as mentioned in advertisement copy

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