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Post applied for select Junior Doctors – Emergency Medicine Junior Doctors – Intensive Care Medicine Junior Doctors – Wards Senior Registrars– Intensive Care Senior Registrars– Anesthesia Charge Nurse – General ICU Charge Nurse – Cardiac ICU Charge Nurse – Cardiac Cath Lab Charge Nurse – Operating Theaters Charge Nurse – Wards Charge Nurse – Out Patient Department Charge Nurse – Dialysis Unit Senior Staff Nurse– General ICU Senior Staff Nurse– Cardiac ICU Senior Staff Nurse– Cardiac Cath Lab Senior Staff Nurse– Operating Theaters Senior Staff Nurse– Wards Senior Staff Nurse– Dialysis Unit Junior Staff Nurse– General ICU Junior Staff Nurse– Cardiac ICU Junior Staff Nurse– Cardiac Cath Lab Junior Staff Nurse– Operating Theaters Junior Staff Nurse– Wards Junior Staff Nurse– Dialysis Unit Technician – Operating Theaters Technician – Cardiac Cath Lab Technician – ICU Technician – Dialysis Unit Radiographer– CT Scanner Radiographer– X-Ray Unit Radiographer– Cardiac Cath Lab Sonographer – Ultrasound Sonographer – Echo Cardiogram ECG Technician Para Medical Technician Biomedical Technician Laboratory – Technician Laboratory – Phlebotomist Pharmacy – Pharmacist Pharmacy – Support Staff Physiotherapy – Junior Physiotherapist Occupational Therapist Nutrition and Dietics – Support Staff CSSD – Supervisor CSSD – Staff Administration – Ward Secretary Administration – Accounts Manager Administration – Stores Manager Administration – Inventory Manager Administration – HR Executive Administration – Clerical Staff Administration – Billing Staff Administration – Marketing Executive Administration – Guest Relations Executive House Keeping – Supervisor House Keeping – Support Staff Linen Services – Laundry Supervisor Linen Services – Laundry Support Staff Security Services – Chief Security Officer Security Services – Security Officer Transport Services – Transport Supervisor Transport Services – Ambulance Drivers Transport Services – Vehicle Drivers

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# Proof to be furnished

I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by the Hospital unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom the Hospital contacts, to provide the Hospital any and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the Hospital as well as from any use or disclosure of such information by the Hospital or any of it's agents, employees, or representatives. I understand that any misrepresentation, falsifcation, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my immediate dismissal from employment.

In consideration of my employment, I agree to conform to the rules and standards of the Hospital. I further agree that, unless modified by the rules and regulations as stipulated from time to time by the management of the Hospital, my employment, compensation, and benefits cannot be modified or terminated without cause, and can be done with sufficient notice stipulated by the Hospital management at anytime, either at my option or at the option of the Hospital. I understand that no employee or representative of the Hospital, other than its authorized personnel, has the authority to enter into any agreement for employment for any specified period of time, or to make any express or implied agreement contrary to the foregoing. Further, the Hospital may not alter the at-will nature of the employment relationship or enter into any employment agreement for a specified time unless the authorized personnel and I or my representative both sign a written agreement that clearly and expressly specified the intent to do so. I agree that this shall constitute a final and fully binding integrated agreement with respect to the at-will nature of my employment relationship and that there are no oral or collateral agreements regarding this issue.

I also understand that all offers of employment are conditioned on: (1) the Hospital's receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant's identity and legal authority to work in India; (2) applicant's satisfactory completion of a post-offer medical examination and occupational health screening; (3) applicant's agreement to abide by and execution of acknowledgment of the Hospital's employee handbook and employment policies.