Application Form for

Application form for various posts

Faculty

Name of the Post Applied for

Specialization / Department

First Name

Middle Name

Last Name

Gender

Email ID

Father / Husband's Name

Upload Photo (.jpg/.png format and maximum size 700KB)

Present Address of Residence

City

State

PIN code

Permanent Address of Residence

City

State

PIN code

Mobile Number

Phone Number

Adhar Card Number

Upload Aadhar Card (.jpg/.png format and maximum size 700 KB)

Date of Birth (enclose the mark sheet of high school examination or birth certificate in certificates section)

Age of applicant as on 08.10.2024

Day

Month

Year

Applicant's Marital Status

Date of Marriage

Category (upload photocopy of certificate issued by competent authority for reserved category in certificates section)

Educational Qualifications

(upload attested photo copies of certificates and marks sheets in certificates section)

[]

Examination Name	Name of Degree	Board Name / University Name	Year	Subject	Marks Obtained	Total Percentage	Attempts

Experience

(upload experience certificate in certificates section)

[]

Designation	From Date	To Date	Duration	Institute Name

Research

Experience in Clinical Research

Experience in making Health Policies and Strategies

Experience regarding NAAC Accreditation pertaining to research

No. of International Publications

No. of National Publications

Scopus ID

Citation Index

H Index

Research Publications

(Attach Photo Copy in certificate section)

Designation	Research Publication (Title)	Remove

Any other relevant information/ experience related to the post.

(Attach Photo Copy in certificate section)

[]

Particulars	Remove

Certificates

List of attach certificates(.jpg/.png/.pdf format and maximum size 700KB)

1. Upload Cover letter explaining in brief why you should be consider for this post.
2. Brief Resume
3. self certified copies of educational qualifications and work experience

Certificate Name	Certificate

1) I certify that the above information given by me is complete and true. In the event of information being false, my application form / appointment letter can be canceled.
2) I certify that I have not been found guilty by any court of any offense of moral decimation nor is there any such case against me in any jurisdiction.

Declaration: I Agree