MOHALLA CLINICS

Candidates may fill options for 5 districts as per their choice

Select MC

Basic Information

Note 1:Name and DOB as recorded in the Matriculation Examination Certificate.

Name ^*

Father Name ^*

Mother Name ^*

Date Of Birth^*

Gender^*

Nationality^*

Category^*

Marital Status^*

Punjabi passed upto Matric Standard^*

Address Detail

District^*

City/Tehsil

Zip Code^*

Address Line 1 ^*

Address Line 2

Mobile Number^*

Email^*

Higher Education Details


Degree	Board/University	Specialization	Year Wise	Year of Passing	Maximum Marks	Obtained Marks	Percentage
MBBS			1st Year
			2nd Year
			3rd Year
			4rd Year
Foreign Medical Graduate
Did you have passed Foreign Medical Examination conducted by National Board of Examination ?
PG Diploma
PG Degree
Others

Experience

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^*

Knowledege of Computer^*

Registration with PMC/MCI^*

Any Convicted/Guilty or court of law in the past^*

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.

Government of Punjab

EMPANELMENT OF MEDICAL OFFICER FOR HEALTH CLINICS AAM AADMI CLINICS IN 5 MUNICIPAL CORPORATION BY THE DEPARTMENT OF HEALTH & FAMILY WELFARE PUNJAB

Candidates may fill options for 5 districts as per their choice

Basic Information

Address Detail

Higher Education Details

Experience

Other Information

Declaration -^*

Government of Punjab

EMPANELMENT OF MEDICAL OFFICER FOR HEALTH CLINICS AAM AADMI CLINICS IN 5 MUNICIPAL CORPORATION BY THE DEPARTMENT OF HEALTH & FAMILY WELFARE PUNJAB

Candidates may fill options for 5 districts as per their choice

Basic Information

Address Detail

Higher Education Details

Experience

Other Information

Declaration -*

Declaration -^*