ADMISSION NOTICE
Admission notice for 2018-19 session for Diploma in Health Promotion Education (DHPE)
and Post Graduate Diploma in Community Health Care (PGDCHC) courses of Family
Welfare Training & Research Centre, Mumbai.
Family Welfare Training & Research Centre, Mumbai, a Central Training Institute of Ministry of
Health & Family Welfare, Govt. of India has been conducting Govt. of India recognised two
courses for in-service sponsored candidates e.g. i) Diploma course in Health Promotion
Education (DHPE) and ii) Post Graduate Diploma course in Community Health Care
(PGDCHC) for several years. Both are residential training courses, affiliated to International
Institute for Population Sciences, Mumbai, a Deemed University under the Ministry of Health &
Family Welfare.
The last date for receiving applications is 31st March 2018. Boarding & lodging facilities will be
provided by this institute on payment as per scheduled rate.
Duly filled application should sent by registered post to the Director, Family Welfare Training &
Research Centre, 332, S.V.P. Road, Khetwadi, Mumbai – 400 004 on or before 31st March 2018.
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GOVERNMENT OF INDIA
FAMILY WELFARE TRAINING & RESEARCH CENTRE
332, S.V.P. ROAD, KHETWADI, MUMBAI – 400 004.
TEL.: 2388 1724 / 2389 3165 FAX NO. (91) 22 – 2386 2736 Email: [Link]@[Link]
Website: [Link]
APPLICATION FORM
Name of the Course:
(Please tick the appropriate box.)
I) DIPLOMA IN HEALTH PROMOTION EDUCATION
II) POST GRADUATE DIPLOMA IN COMMUNITY HEALTH CARE
PHOTO
1. Name in Full:
(In Block Letters)
2. Sex :
3. Age (as on 31st March 2018) :
4. Marital Status :
5. Designation of the Present Post :
6. a. Present Address (to which communication to be sent):
b. Permanent Address (If different from above):
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c. Phone No. (Office): _______________ Phone No. (Residence): ____________
Mobile No. : __________________
d. Email (Compulsory): ____________________________________
7. Date & Place of Birth:
Date: Place: ___________________
8. Do you belong to Scheduled Caste / Scheduled Tribe / OBC: YES NO
If Yes,
Scheduled Caste / Scheduled Tribe / OBC
Sub-caste: ________________________
(Please attach Valid Caste Certificate & OBC Non-Creamy Layer Certificate from the District
Authority otherwise application will be treated as general category.)
9. Academic record:
Give particulars of all examinations and degrees obtained:
Exam / Board / Medium of Year of Division / Subject (s)
Degree Institution / Examination Passing Class Offered
University with % of
marks
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10. Employment Record (If Any): (Please attach Experience certificate from Employer.)
Employer Post held From To Salary last Reasons for
(Date) (Date) Drawn leaving the post
11. List your important present job responsibilities:-
1.
2.
3.
12. Give reasons in brief as to why you seek admission and your expectation from this training
course: -
(1)
(2)
(3)
13. Give names, occupations / positions and addresses of two references, other than your
relatives, who are in a position to give information about you and your work :-
I II
DECLARATION BY THE APPLICANT
I hereby declare that all statements made in this application are true, complete and correct to the
best of my knowledge and belief.
SIGNATURE OF THE APPLICANT
Place & Date:
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EMPLOYER
(FOR USE IN THE CASE OF SPONSORED CANDIDATES ONLY)
In case the candidate is selected for the training at the Family Welfare Training and Research
Centre, Mumbai, whether the State or Central Govt. of any other agency with whom the
applicant working:
a) Will relieve him / her? : YES / NO
b) Will provide him / her deputation Allowance or / and pay during : YES / NO
period of training ?
Certified that Mr / Mrs / Miss ____________________________________________holds a post
in this Department / Office / Institution / Organisation and that the statement made by him / her
in this form are correct to the best of my knowledge and belief. I recommend his/ her admission
to the training programme of the Centre.
SIGNATURE:
DESIGNATION:
Department / Office / ______________________________________
Institution / Organisation _______________________________________
Phone No. (Office): ________________ Fax No.: __________________
Mobile No. : ___________________ E-mail ID: _________________
(OFFICE SEAL)
PLACE:
DATE:
ENCLOSURES TO BE ATTACHED ALONG WITH APPLICATION FORM:
1. SSC certificate (attested copy)
2. Graduation certificate (attested copy)
3. Age proof (attested copy)
4. Caste certificate along with validity certificate (attested copy)
5. Non creamy layer certificate for OBC candidates (attested copy)
6. Experience certificate
7. Forwarding letter from Competent Authority
8. Medical fitness certificate from the District Civil Surgeon or equivalent Competent
Medical Authority
Applications should be sent by registered post to the Director, Family Welfare Training and
Research Centre, 332, S. V. P. Road, Khetwadi, Mumbai - 400 004 on or before 31st March
2018.
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DIPLOMA IN HEALTH PROMOTION EDUCATION
ELIGIBILITY CRITERIA (2018-19)
One year Diploma Course in Health Promotion Education is affiliated to International Institute
for Population Sciences, Mumbai (Deemed University).
The candidate should fulfil the following eligibility criteria.
1. Candidate should be Graduate from a UGC recognised University. Preference will be
given to candidates having degree in the field of Health / Education / Welfare / Nursing
or any other paramedical field.
2. Minimum three years of experience in Health related field.
3. Age not more than 40 years. Five years age relaxation for candidates belonging to SC/ST
and three years for OBC candidates.
4. In-service candidate in Central/State government, Health and Family Welfare Department
directly involved in the delivery of health care services will be preferred. Persons
working in Recognised National level NGOs working in field of health may also apply.
5. Reservation for SC/ST/OBC (Non-Creamy Layer) and disabled will be provided as per
Government of India rules. A Valid Caste Certificate from the recognised District
Authority must be attached at the time of submission of application form.
6. Individuals with any of the above qualifications from Government & Non- Government
organizations working in Rural areas / underperforming districts in the community health
will be preferred.
7. Preference for admission will be given for candidates sponsored from Directorate of
Health Services of the State. Application duly completed along with enclosures should be
forwarded through proper channel by competent authority so that candidate gets relieved
in case of his/her selection.
8. The medium of instructions for this course is English. Reading & writing competency in
English is required.
9. Selection Committee decision will be final.
10. D.H.P.E. Course is a full time Residential Training course of one year duration.
11. No student will be permitted to seek employment or to participate in any course of study
either full time or part time during the period he/she is enrolled at the institute for said
course.
12. Last date for receipt of application is 31st March 2018.
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POST GRADUATE DIPLOMA IN COMMUNITY HEALTH CARE
ELIGIBILITY CRITERIA (2018-19)
Post Graduate Diploma Course in Community Health Care is a residential training course is
affiliated to International Institute for Population Sciences, Mumbai (Deemed University).
The candidate should fulfil the following eligibility criteria.
1. Candidate should be Graduate from a UGC recognised University. Preference will be given
to candidates having degree in Psychology/ Economics / Anthropology/ Statistics / Sociology
/ Education /Communication / Social Work / Health and Allied Sciences / Home Science /
Dietetics /Management /AYUSH / Nursing or any other paramedical field.
2. Those already working as Health Assistant (Male and Female), LHV, Health Supervisor,
Sanitary Inspector, Health Inspector, Lab Technician, MSW, MPW (Male & Female), Block
Extension officer will be given preference for selection.
3. Three years experience in Health related field (in-service experience).
4. Age not more than 40 years. Five years age relaxation for candidates belonging to SC/ST and
three years for OBC candidates.
5. Reservation for SC/ST/OBC (Non-Creamy Layer) and disabled will be provided as per the
Government of India rules. A Valid Caste Certificate from the recognised District Authority
must be attached at the time of submission of application form.
6. Individuals from Government & Non-Government organizations working in the Rural areas /
tribal areas/ underperforming districts will be preferred.
7. Preference for admission will be given for candidates sponsored from Directorate of Health
Services of the State. Application duly completed along with enclosures should be forwarded
through proper channel by competent authority so that candidate gets relieved in case of
his/her selection.
8. The medium of instructions for this course is English. Reading & writing competency in
English is required.
9. Selection Committee decision will be final.
10. PGDCHC Course is a full time Residential Training course of one year including three
months of internship duration.
11. No students will be permitted to seek employment or to participate in any course of study
either full time or part time during the period he/she is enrolled at the institute for said
course.
12. Last date for receipt of application is 31st March 2018.