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  • 1. Government of the People’s Republic of Bangladesh Directorate General of Health Services Mohakhali, Dhaka-1212 Health Workforce Datasheet Warning1. Avcwb evsjv‡`‡ki bvMwiK Ges evsjv‡`‡ki miKvix ¯^v¯’¨ mvwf©‡m PvKzixiZ n‡j GB dig c~iY Kiv Ges †Kvb Z_¨ cwieZ©b n‡j †`ix bv K‡i h_vkxNÖ m¤¢e Zv nvjbvMv` Kiv Avcbvi Rb¨ eva¨Zvg~jK|2. GKev‡i me Z_¨ c~iY Ki‡Z bv cvi‡j AvswkK c~iY Kiæb Ges ZvovZvwo me Z_¨ †hvMvo K‡i digwU KgwcøU Kiæb|3. hLbB cÖ‡qvRb co‡e ZLbB GB dig Ly‡j Z_¨ ‡`‡L wb‡Z ev nvjbvMv` Ki‡Z cvi‡eb| Avcbvi BDRvi bvg ev cvmIqvW© Ab¨ KvD‡K †`‡eb bv| ‡Kbbv Zv n‡j ‡KD Avcbvi PvKzixi Z_¨ weK…Z K‡i Avcbvi me©bvk Ki‡Z cv‡i|4. evsjv‡`‡ki miKvix ¯^v¯’¨ mvwf©‡m PvKzix bv Ki‡j GB dig c~iY Kivi cÖ‡qvRb †bB|5. webv AbygwZ‡Z AevwÂZ e¨w³ GB dig c~iY Ki‡j Zvu‡K K‡Vvi kvw¯Í †fvM Ki‡Z n‡e|6. Avcwb wg_¨v I fzj Z_¨ w`‡j ev Z_¨ †Mvcb Ki‡j wefvMxq kvw¯Íi mb¥yLxb n‡eb| mZ¨ iÿvi †NvlbvAvwg GB g‡g© †Nvlbv KiwQ †h, Dc‡ii Warning c‡owQ| Avwg evsjv‡`‡ki miKvix ¯^v¯’¨ mvwf©‡m PvKzixiZGes Avwg GB di‡g †Kvb wg_¨v ev fyj Z_¨ †`‡ev bv ev †Kvb Z_¨ †Mvcb Ki‡ev bv| Avgvi e¨w³MZ WvUvkx‡UZ‡_¨i †Kvb weK…wZ _vK‡j ev ¸iæZ¡c~Y© Z_¨ †Mvcb Kiv n‡j Zvi Rb¨ Avwg `vqx _vK‡ev Ges GRb¨ KZ…©cÿ Avgv‡K †h ‡Kvb kvw¯Í w`‡Z cvi‡eb| I agree I don’t agree.............................................................................................................................................................................................................. Welcome to DGHS Personal Information Data Sheet Click on the buttons below to enter or update your information First Personal Family Information on Educational Registration Posting, Transfer, appointment & Information Information Current Job Qualification Information Promotion Regularization Miscellaneous Salary and Training Leave, Disciplinary Retirement & DDOship & Audit (publications, Benefits (Local & Foreign) Deputation, Lien actions Pension others) Mouse over will show type of information each button will acceptPersonal Information Living in urban or rural area:ID No. ........................................... Urban (municipality or City Corporation) RuralCode No. ........................................... If urban, which town or city? (Choose from the list): ............Name (in English): ................................................................. Type the detailed address here: District (choose from the list): ........................................bvg (evsjvq)t .......................................................... Thana/Upazila (choose from the list): ..............................Sex: Male Female Post office: ..................................Postal code.....................Father’s name: ................................................................ Village (or Road and House No.) .............................................Mother’s name: ............................................................... Land phone (use , if more than 1): ...................................Date of birth: ........(day) ...........(month) ..............(year) Mobile phone (use , if more than 1): ...............................Religion: Muslim Hindu Buddhist Christian Other Email address (use , if more than 1): ......................................Marital status: Unmarried Married Widowed Divorced Not divorced but living separated Spouse diedPresent addressDate updated1 | Personal Data Sheet
  • 2. Permanent address Assistant to technician: Lab assistant, Dental assistant, PharmaceuticalUrban or rural area: assistant, etc. Urban (municipality or City Corporation) Rural Environment and public health worker: Environment officers,If urban, which town or city? (Choose from the list): ............ Environment public health officers, Sanitary officers, SanitationType the detailed address here: worker, Hygienist, Public health technician, malaria technician,District (choose from the list): ........................................ meat inspector, public health supervisor, etc.Thana/Upazila (choose from the list): .............................. Community health worker: assistant/community health education worker, community health officer, family health worker, ladyPost office: ..................................Postal code..................... health visitor, health extension package worker, communityVillage (or Road and House No.) ............................................. midwifeLand phone (separate by , if more than 1): ............................. Other health workers: dietician, nutritionist, occupational therapist,Mobile phone (separate by , if more than 1): ........................ operator of medical and dental equipment, optometrist, optician,Email address (separate by , if more than 1): ......................... podiatrist, prosthetic/orthetic engineer, psychologist, respiratory therapist, speech pathologist, trainee Save Information Health management and support worker (non-medical): health .................................................... manager, health economist, health statistician, teachingFamily Information professional, health policy lawyer, medical records and health information technician, ambulance staff, cleaning staff, buildingSpouse information and engineering staff, general support staff, driverUse a table to display following information: Designation (choose from list) Sl. No. Your code: Type of placement Date updated: Name of spouse: Current charge In-charge Working Deputation Study Does s/he currently serve under DGHS? Yes/No deputation OSD (working) OSD (punishment) Lien Against His/her code, if under DGHS His/her occupation (choose from list) the post Fixed pay Contract Service His/her designation His/her place of posting (detail address) Remarks, if any: ........................................... His/her department/organization Remarks, if any Place of posting: .............................................................................. Type of the posting place: Community Clinic Union sub-center Rural health center Urban dispensary TB Clinic Leprosy clinic TB hospital Upazila Health Complex District/ Sadar Hospital GeneralChildren’s information Hospital Medical College Medical College HospitalUse a table to display following information Postgraduate Teaching Institute (non-clinical) Postgraduate Sl. No. Your code: Teaching Institute (Clinical) Infectious disease hospital DGHS Date updated: Name of child: Divisional Health Office CS Office Sadar Upazila Health Office Date of birth: Sex: Other institute Trauma Center MATS IHT Nursing Schooling: Not started Studying Completed Stopped Institute .... If schooling, level of education Location of your posting place: Marital status: Unmarried Married Widowed Divorced Not Urban or rural: Urban Rural divorced but living separated Spouse died Name of thana/upazila (choose from list) Employment: Studying, does not earn Earns beside studying Name of district (choose from list) Full time employment Unemployed Sick, not fit Date of joining in current post: .............(day) ......... (month) .......(yr) for employment Pay scale of present post (choose from list) Remarks, if any His/her occupation (choose from list) Basic pay in Taka: His/her designation His/her place of posting (detail Next increment date: .........(day).........(month)............(year) address) Drawing salary from same post: Yes/No His/her department/organization If not, mention from which post you currently draw salary: Save Information Educational Qualification .................................................... Type exactly your highest educational qualification................Information on current job Fill up this tableYour code: Sl. Your Level of Actual Board/ Distinction, Major Year InstituteDate updated: No. Code education level University if any subject(s) Choose Choose ChooseType of post: Cadre Regular Regular Temporary DevelopmentDirectorate: DGHS NursingProfessional category (add a definition page): Explanation: Physician Dentist Nurse Midwife Pharmacist Engineer Level of education: Laboratory scientist Physiotherapist Medical technologist Illiterate Below primary Below junior Junior Below secondary Technician Assistant to technician Environment and public Secondary Higher Secondary Graduate Masters PhD Post-doctoral Undergraduate DiplomaOther health worker Community health worker Traditional Medicine Total length of study: ..............years Practitioner (AMC practitioner) Birth attendant Medical Assistant Actual level of education: Personal care worker Health management and support worker Illiterate Class I-IV Class V Class VI-VII Class VIII Class IX-X SSC Other health professional or worker HSC BA/BSc/BCom/Fazil MA/MSc/MCom/Kamil MBBS BDSProfessional sub-category (add a definition page): Undergraduate Diploma (nursing, paramedical, medical assistant, etc.) Physician: General, Internal medicine, General surgery, Postgraduate diploma MPhil/MD/MS PhD Post-doctoral Ophthalmology, etc. Dentist: General, maxillofacial surgery, Orthodontics, etc. Registration Information Nurse: Professional nurse, auxiliary nurse (nurse aid), enrolled nurse, First Regulatory Degree Regis- Last dental nurse, primary care nurse, cardiac nurse, nurse-midwife, etc. Sl. Your Regis- body registered tration Renewal No. code tration Midwife: Professional midwife, auxiliary midwife, enrolled midwife (choose) (choose) No. Date Date Physiotherapist: if there is any sub-category Medical technologist: Laboratory, Radiography, Physiotherapy, Radiotherapy, Dental, Sanitary inspector, Optometry, etc. Technician: Laboratory technician, dental technician, ECG technician, etc. First appointment and Regularization Internship Training2 | Personal Data Sheet
  • 3. Type Date completed CourseName of training etc.Diploma, certificate, Internship Duration (days) day-month-year Organized by Begin date Your code or In-service Training Remarks End date Sl. No. VenueAd-hoc appointment, if any Ever appointed on Date G.O. No. Serial No. ad-hoc basis? Yes/No day-month-year 1Has your job been regularized? Yes/No 2If yes, give particulars in following table: 3 For post Date of Serial Sl. No. Authority Foreign training (outside country) (choose) regularization No. etc.Degree, diploma, certificate, Country Assistant Surgeon Name of training Course Assistant Professor Sponsoring organization Associate Professor Professor Begin date Your code End date Remarks Duration MOHFW Assistant Director Sl. No. Venue Deputy Director 1 PSC Director DPC Additional Director General Director General .............. Consultant Senior Consultant 1 2 2 3 3Service confirmation following BCS Service confirmed BCS Batch No. G.O. No. Date Leave, Deputation, Lien Yes/NO Leave (except casual leave) You joined after leave on date Purpose of taking leave list)Type of Leave (choose from G.O. No. & date granting leave Save Information You enjoyed leave (length) You started leave on date Length of approved leave .................................................... Remarks, if any Your code Sl. No.Posting, Transfer, Promotion First Posting, Transfer in same rank, Transfer in higher G.O. Date G.O. Serial 1 (choose)PunishmentPromotion, Demotion 2 Designation (choose) Posted as (choose) 3 Place of posting Release date Joining date Your Code status, G.O. No.Sl. No. Deputation You joined after deputation on date (length)You enjoyed after deputation Purpose & outcome of deputation list)Type of Deputation (choose from deputationG.O. No. & date granting You started deputation on date Length of approved deputation Remarks, if any Your code Sl. No.1234 1 2 3 Save Information ....................................................Salary and Benefits Date Lien when a What was What was Why deputationG.O. No. & date granting If you fail to follow any condition of You joined after Lien on date Your Sl. No. new scale the the Basic scale Remarks code began or Scale? pay? changed You enjoyed Lien(length) You started Lien on date Length of approved Lien Other Remarks, if any Purpose of taking Lien Lien, explain why? changed 1 Your code Sl. No. 2 3 Save Information .................................................... 1Training (Local and Foreign) 2Local training (within country) 3 Save Information .................................................... DDOship and Audit objection3 | Personal Data Sheet
  • 4. outFinancial responsibility carried Type of audit objection, if any What is the current status ? In what capacity? Describe further If yes, where? Your code Sl. No. Save Information .................................................... 1 2 3 Save Information ....................................................Disciplinary actions Remarks, if any Inquiry Officer Decision date Your code Complain Decision Sl. No. Year Date 1 2 3 Save Information ....................................................Retirement and PensionRegular date of LPR: ............(day) ............... (month) ............. (year)Regular date of Pension: ................ (day) ....................(month) ............... (year) Type of retirement Date of Reason for Your (Early/ Date Sl. No. terminatio terminatio Nominee code Forced/ begins n n LPR/ Pension) 1 2 3 Save Information ....................................................Miscellaneous (Publication, presentation, affiliation, etc.)Publication National or Authorship: Your Original orSl. No. Title Internationa Principal or Reference code Review l Co-author 1 2 3Presentation National or Your ScientificSl. No. Title Internationa Date, Venue, Country code or General l 1 2 3Affiliation Type of Your OrganizatioSl. No. Organizatio Position Remarks, if any code n n 1 2 3Any other information Memo box4 | Personal Data Sheet
  • 5. †NvlbvAvwg GB g‡g© †Nvlbv KiwQ †h, Avwg GB di‡g †Kvb wg_¨v ev fyj Z_¨ ‡`B bvB| Avgvi e¨w³MZ WvUvkx‡UZ‡_¨i †Kvb wePz¨wZ cwijwÿZ n‡j ev †Kvb ¸iæZ¡c~Y© Z_¨ Abycw¯’Z _vK‡j Avwg `vqx _vK‡ev Ges KZ…©cÿGRb¨ Avgv‡K †h ‡Kvb kvw¯Í w`‡Z cvi‡eb| I agree, Submit5 | Personal Data Sheet
  • 6. Annual Credential ReportCode No. ....................... Performance to taking action and carry out order of superiors:Name: ............................................................... Awareness about security:Designation: .............................................................. Behavior with people: Part IV: Work Performed Part I : Report on Health Examination Professional knowledge:Height: ......................... feet Quality of work:Weight: ........................ kilogram Quantity of work performed:Vision: .......................... Ability of monitoring and directingBlood Group: O:........... Rh: .................. Relation with colleaguesBlood Pressure: Systolic ................ Diastolic ................... Competence for decision making:X-ray report: ..................................................................... Ability for decision implementation:ECG Report: .................................................................... Interest and ability to train subordinates:Medical Type: .................................................................. Ability of expression (written):Health problem/ Fitness problem: ................................... Ability of expression (verbal): Initiative to complete ACR and taking countersign:Health Officer who signed ................................................ Sincerity:Date: ..................................... Total No. obtained: Extraordinary Excellent Best Average Below average Part II : Biodata Grading on assessment (between 1 and 4) Part V: Written Sketch about the officer on assessmentAdditional information that is missing in PDSCompetence in foreign language: Speaking Reading WritingLength of service under the officer who is writing thisACR: .......................... Months/ Years Part VI: RecommendationsPerformance of the staff during this ACR perioda. Special preference/qualification (administrative, official, external, other):b. Honesty and reputation:c. Morald. Intellectuale. Material Recommendations for on-job promotion Part III: Personal Characteristics Fit for promotion [Grade 1 to 4) Not yet fit for promotionDiscipline: Reached highest level for promotionJudgment and sense of limit (jurisdiction): Recently promoted; premature for new promotionIntelligence: Other recommendation (if any):Pro-activeness and initiative:Personality: Name of assessor: ...............................................Cooperativeness:Punctuality: Designation: ................................................Dependability: ID No. ...............................................Responsibility: Date: ...............................................Interest to work:6 | Personal Data Sheet

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