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Recruitment for the Post of Medical Officers

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Basic Information                        Post Applied For:   

Choice of Stations (Which District they wish to work accordingly)

Choice of Stations (Which District they wish to work accordingly)       ;  District:         ;  District:       ;  <

Application ID Name Fname Mname
Dob Gender Nationality Category
Marital Status Punjabi passed upto Matric Mobile no Email

Address Details

State District City
Address Line 1 Address Line 2 Zip Code

Educational Qualification

Matric Pass Year Matric Subjects Matric Board/University Matric Qualification Mode Matric Maximum Marks Matric Obtained Marks Matric %
12th Pass Year 12th Stream 12th Board/University 12th Qualification Mode 12th Maximum Marks 12th Obtained Marks 12th %
Whether One year diploma in Computer Applications
Stats or Economics as one of the subject for the post of Account cum Cashier and Programme Assistant (HRIS)

Higher Education Details

Grad Stream Grad Board Grad Mode Grad 1st yr Grad max marks 1st yr Grad obt marks 1st yr Grad % 1st yr
Grad 2nd yr Grad max marks 2nd yr Grad obt marks 2nd yr Grad % 2nd yr
Grad 3rd yr Grad max marks 3rd yr Grad obt marks 3rd yr Grad % 3rd yr
Grad 4th yr Grad max marks 4th yr Grad obt marks 4th yr Grad % 4th yr
Post Grad Stream PG Board PG Mode PG 1st yr PG max marks 1st yr PG obt marks 1st yr PG % 1st yr
PG 2nd yr PG max marks 2nd yr PG obt marks 2nd yr PG % 2nd yr
PG 3rd yr PG max marks 3rd yr PG obt marks 3rd yr PG % 3rd yr
Other Degree(if any) Other Board Other Mode Other Degree 1st year Other Degree max marks 1st year Other Degree obt marks 1st year Other Degree % 1st year
Other Degree 2nd year Other Degree max marks 2nd year Other Degree obt marks 2nd year Other Degree % 2nd year
Other Degree 3rd year Other Degree max marks 3rd year Other Degree obt marks 3rd year Other Degree % 3rd year
Others

Experience Details

Sno Name of Employer Designation Exp Sector Nature of Duty From Period To Period
1
2
3

Other Information

Any legal or criminal case pending If Yes, Provide Details Registration with PMC/MCI* If Yes, MBBS Registratio No MBBS Valid Up to
Any Convicted/Guilty or court of law in the past If Yes, Provide Details Knowledege of Computer