Recruitment for the Post of Assistant Manager (HMIS), HMIS Coordinator, Accountant Cum Cashier and Programme Assistant (HRIS)
Post Applied For
Choose Post
Assistant Manager (HMIS)
HMIS Coordinator
Accountant Cum Cashier
Programme Assistant (HRIS)
Basic Information
Note 1:Name and DOB as recorded in the Matriculation Examination Certificate.
Name
*
Father Name
*
Mother Name
*
Date Of Birth
*
Gender
*
Choose
Male
Female
Others
Nationality
*
Choose
Indian
Others
Category
*
Select Category
Backward Classes
Backward Classes - Ex Servicemen/LDESM, Punjab
Ex Servicemen/LDESM, Punjab
Freedom Fighters
General
General (Economic Weaker Section)
Person with Disability
Scheduled Caste (M&B)
Scheduled Caste (R&O)
Scheduled Caste Ex Servicemen/LDESM, Punjab
Scheduled Caste -Sports
Sports
Marital Status
*
Select Marital Status
Single
Married
Widow
Divorced
Punjabi passed upto Matric Standard
*
Choose
Yes
No
`
Address Detail
State
*
Select State
Punjab
Andaman & Nicobar Island
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttrakhand
West Bengal
Others
District
*
Select District
Amritsar
Barnala
Bathinda
Chandigarh
Faridkot
Fatehgarh Sahib
Fazilka
Ferozpur
Gurdaspur
Hoshiarpur
Jalandhar
Kapurthala
Ludhiana
Malerkotla
Mansa
Moga
Muktsar
Pathankot
Patiala
Rupnagar
Sangrur
SBS Nagar
SAS Nagar
Tarn Taran
Other
City
*
Zip Code
*
Address Line 1
*
Address Line 2
Mobile Number
*
Email
*
Educational Qualification
Degree
Year of Passing
Stream/Subjects
Board/University
Qualification Mode
Maximum Marks
Obtained Marks
Percentage
Matric
*
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Select Mode
Regular
Distance
Correspondence
12th
*
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Select Steam
Medical
Non Medical
Commerce
Arts
Select Mode
Regular
Distance
Correspondence
Higher Education Details
Degree
Select Degree
Board/University
Qualification Mode
Year Wise
Year of Passing
Maximum Marks
Obtained Marks
Percentage
Graduation
*
Select Degree
BA
BCA
BSc
BCom
BBA
Btech
Others
Select Mode
Regular
Distance
Correspondence
1st Year
*
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2nd Year
*
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
3rd Year
*
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
4rd Year(if any)
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Stats or Economics as one of the subject in Graduation for the post of Programme Assistant (HRIS)
*
Choose
Yes
No
Whether One year diploma in Computer Applications from recognized institute?
*
Choose
Yes
No
Post Graduation
Select Degree
MCA
Msc IT
Msc Computer Science
Msc Mathematics
Msc Stats
MBA Finance
Mcom
Mtech
Others
Select Mode
Regular
Distance
Correspondence
1st Year
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2nd Year
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
3rd Year
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
For those who have done dual degree please select another PG degree and fill the details.
Post Graduation
Select Degree
MCA
Msc IT
Msc Computer Science
Msc Mathematics
Msc Stats
MBA Finance
Mcom
Others
Select Mode
Regular
Distance
Correspondence
1st Year
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2nd Year
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
3rd Year
Select Year
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Others
Experience
Sno
Name of Employer
Designation
Exp Sector
Nature of Duty
From Period
To Period
1
Select Sector
Govt
Semi-Govt
Private
2
Select Sector
Govt
Semi-Govt
Private
3
Select Sector
Govt
Semi-Govt
Private
Declaration -
*
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief.
It is found that any information given in this application is false/incorrect or that i do not satisfy the eligibility criteria according to the board, my candidature/appointment is liable to be cancelled/terminated.
I have read and understood the stipulations given in the advertisement and hereby undertake to abide by them.