BP/HR/PM 11-12/Exp-01/2011

STANDARDIZED FORMAT FOR EXPERIENCE CERTIFICATE

(Please note that the experience certiIicate must be submitted only in the Iormat given
below on letter head oI the employer)



TO WHOMSOEVER IT MAY CONCERN


This is to certiIy that Shri/Ms .................... (Name), S/o
/ D/o Shri .................. (Iather`s name) has worked Irom
............ (date-month-year) to ............. (date-
month-year). He/Shri has worked on permanent (as regular)/Fixed Tenure/Contract basis
in our organization (Please tick whichever is applicable).

He/She has worked Ior ......... working days (number oI working days)
..................... (in words) during the period mentioned
above.

He/She has handled Iollowing jobs ............. & has gained
proIiciency in ............

The conduct oI the employee, during the tenure as mentioned above, was Iound to be
satisIactory.

Place : ..........
Date : ..........

SIGNATURE & SEAL
oI the Authorized Signatory
oI the Hospital/Organisation