MAHARSHI CHARAK CHIKITSA RESEARCH SANSTHAN egf"kZ pjd fpfdRlk vuqla/kku laLFkku Add: Office No.1, Building No. 4/5, Veer Savarkar Block, Shakarpur, Delhi-92 iathdj.k la[;k 33@10510277&2015 Application Form (Read the guidelines carefully before you start Filling up the application Form) For Office use 1. Name of the Post 2. Name of the Candidate 3. Father’s & Husband’s Name 4. Mother’s Name 5. Postal Address: 6. Nationality: Religion: 7. State Name: City: 8. Marital Status: Persons with Disabilities : 9. Date of Birth: Date: Month: Year Aadhar Card No. 10. Community: ST SC OBC General Other Ph: 11. Sex: Male Female Mobile No. Present Status: Emp. Unemp. 12. Education Qualification: Name :- Address: State: PIN: Please Paste Recent Passport Size Photo Yes No Examination Board & University Passing Year Percentage % 10th 12th GNM/ANM All Diploma Graduation all Subject B.Sc. All Subject M.Sc. All Subject All Diploma Technician All Diploma Paramedical Any Other Course Yes No
Transcript
MAHARSHI CHARAK CHIKITSA RESEARCH SANSTHANegf"kZ pjd fpfdRlk vuqla/kku laLFkku
(Read the guidelines carefully before you start Filling up the application Form)
For Office use
1. Name of the Post
2. Name of the Candidate
3. Father’s & Husband’s Name
4. Mother’s Name
5. Postal Address:
6. Nationality: Religion:
7. State Name: City:
8. Marital Status: Persons with Disabilities :
9. Date of Birth: Date: Month: Year Aadhar Card No.
10. Community: ST SC OBC General Other Ph:
11. Sex: Male Female Mobile No. Present Status: Emp. Unemp.
12. Education Qualification:
Name :-
Address:
State: PIN:
Please Paste Recent Passport Size Photo
Yes No
Examination Board & University Passing Year Percentage %
10th
12th
GNM/ANM All Diploma
Graduation all Subject
B.Sc. All Subject
M.Sc. All Subject
All Diploma Technician
All Diploma Paramedical
Any Other Course
Yes No
I Submit the Application Form To Maharshi Charak Chikitsa Research Sansthan accroding to (MCCRS) rule I hereby declare that all the particular given above by me are true complete and correct to the best of my knowledge & belief. I am aware that in the event of any information furnished by me is found fall / incorrect at any stage my candidate/service will be rejected. I will abide by the instructions given in the notification. Fees is refundable in case of selection is not done.
( Please write above paragraph in the space given below in your own running hand writing.)
Place:
Date:
Full Signature of the Candidate
(In Running Script only)
Guidelines:
1. How to Apply Vacancy : Interested candidates may apply in Prescribed application form along with self attested photo copies of all relevant documents Send by Private Courier, Normal Post, Speed Post, Registered Post, with attach Fees
2. Candidate Self Attatch the Relevent document with prescribed application form with fees 3. Write The Appropriate Name of The Course In Form 4. Selection Process : will be based on Interview/ Viva Voce5. Fees Is Refundable In Case Of Selection Is Not Done6. Important Dates to Remember :
Last Date for Submission of Application form : 28.02.2018
Date of Interview : 12.04.2018 to 12.05.2018 at 09:00 AM to 5:00 PM
TO
The Secretary
Maharshi Charak Chikitsa Sansthan, Office No.01 Building No. 4/5 Veer
