CENTRAL COUNCIL OF INDIAN MEDICINE New Delhi 1.

CENTRAL COUNCIL OF INDIAN MEDICINE
New Delhi
Schedule for scrutinizing Faculty Data base Forms for code number
Sl. No.
1.
2.
Name of the College
Govt. Siddha Medical College,
PALAYAMKOTTAI,
Tirunelveli -627002, (TN)
Govt. Siddha Medical College,
Arignar Anna Hospital Campus,
Arumbakkam,
Chennai-106, (TN)
Date To Be
Scrutinized Faculty
Data Base Forms
For Coding
18.11.2014
19.11.2014
3.
ATSVS Siddha Medical College,
Munchirai,
Kanyakumari-629171 (TN)
20.11.2014
4.
Sri Sairam Siddha Medical College,
Poonthandalam,
West Tambaram,
Chennai-44, (TN)
21.11.2014
5.
Velumailu Siddha Medical College,
Sriperumbudur,
Kanchipuram-602105 (TN)
24.11.2014
6.
Santhigiri Siddha Medical College,
Santhigiri (PO),Pothencode,
Thiruvananthapuram-695589 (KERALA)
25.11.2014
7.
National Institute of Siddha,
Tambaram Sanatorium,
Chennai-47, (TN)
26.11.2014
8.
RVS Siddha Medical College,
242-B, Trichy Road,
Sulur,
Coimbatore-641402 (TN)
27.11.2014
9.
Sivaraj Siddha Medical College,
Thumbathulipatty,
SiddharKoil Main Road,
Salem-636307 (TN)
28.11.2014
CENTRAL COUNCIL OF INDIAN MEDICINE
61-65, INSTITUTIONAL AREA, JANAKPURI,
NEW DELHI- 110058.
FACULTY DATA BASE FORM (Siddha)
State
College Name
Recent photo
duly signed by the
teacher
Full Name of Teacher
Father’s a e
Date of Birth
Qualification
UG(University & Year)
PGSubject(University & Year)
Any other (Ph.D.)
Present Designation
Present Department
*Date wise details of
Experience in
chronological order (1st
appointment to till date.
Attach separate sheet if
necessary)
From
To
Designation
Organization
Name of the State
Council/Board with
Registration Number
Present Address
Permanent Address
Contact Number
E- Mail
Mob:
Res:
Subject /
Department
It is certified that all information given by me is correct and true to the best of my knowledge.
Signature of Teacher
It is certified that …………………………………………………………………….is worki g as ……………………………………..……..in our
College. The information furnished by him is true & factual to the best of my knowledge.
Principal/Dean/Director
(All columns should be filled up by the candidate only & in case any column remains unfilled, code number will not be issued)
*Date wise details of experience in chronological order can be provided in separate sheet in the prescribed format duly signed by teacher.
For office use only
Code No.
Signature of verification officer
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