Job Application

Note:

'*' Fields are Mandatory

Post Applied

Post Applied for

Prefered Location 1 *

Prefered Location 2 *

Personal Details

Name * (as per Aadhaar Card) :

Aadhaar Card No. * :

PAN Card No. * :

Date of Birth ( as per AADHAR CARD ) * :

Place of Birth ( Place & State) * :

Gender * :

Male

Female

Nationality * :

Physically Challenged * :

Address *( with PIN Code ) :

City* :

State * :

Marital Status * :

Father's Name *(as per Aadhaar Card) :

Husband / Wife Name(as per Aadhaar Card) :

Phone Number *:

E-Mail address*:

Previous UAN Number :

Previous ESIC Number :

Faculty Registration Details :

Registration No.:

Date of Registration :

Name of registered Faculty/Council :

Name of Degree :

Uttarakhand Medical/Nursing/Paramedical/Pharmacy Council/Faculty Registration Certificate :

Choose file

Uttarakhand Medical/Nursing/Paramedical/Pharmacy Council/Faculty Registration Details :

	Exam Passed	Branch / Subject	Percentage	Month & Year of Passing	College	University / Board Of Examination
Main Qualification *
Additional Qualification
Additional Qualification

Professional Experience Details ( Latest Experience at the Top )

Not Working Presently

From (Month & Year)	To (Month & Year)	Organisation	Place of work	Post Held	Brief Description of job Profile	Relevant Experience

Pay Details

Years	Annual CTC in Rupees
Current Annual CTC : *

Upload Documents

Document Name	Upload
Upload: Photo(Passport Size)* maximum file size 300 KB & Image File Format(.png, .jpg, .jpeg, .bmp, .gif)	Choose file... Example invalid custom file feedback
Upload: Signature* maximum file size 300 KB & Image File Format(.png, .jpg, .jpeg, .bmp, .gif)	Choose file... Example invalid custom file feedback
Upload: Detailed Resume(PDF or Word File)* maximum file size 2MB	Choose file... Example invalid custom file feedback
Upload: Highest Qualification Marksheet (PDF File) * maximum file size 2MB	Choose file... Example invalid custom file feedback
Upload: AADHAR CARD(PDF File) * maximum file size 2MB	Choose file... Example invalid custom file feedback
Upload: PAN CARD(PDF File) * maximum file size 2MB	Choose file... Example invalid custom file feedback
Upload: Work Experience Letter(PDF File) * maximum file size 2MB	Choose file... Example invalid custom file feedback

Describe how the Candidate considers himself best suitable for this Post

( Max. 100 words)

Application Form