Scribd
Upload
44 views

Advertisement Application Form for Non Pg Jr Hospital Administration (1)

The document outlines an application form for the position of Non PG Junior Resident in Hospital Administration at the Mahatma Vidur Autonomous State Medical College, Bijnor. It includes sections for personal information, educational qualifications, current employment details, and a declaration by the candidate regarding the accuracy of the provided information. The document specifies the total number of posts available and the categories for applicants.

Uploaded by

Shivansh Rana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
44 views

Advertisement Application Form for Non Pg Jr Hospital Administration (1)

The document outlines an application form for the position of Non PG Junior Resident in Hospital Administration at the Mahatma Vidur Autonomous State Medical College, Bijnor. It includes sections for personal information, educational qualifications, current employment details, and a declaration by the candidate regarding the accuracy of the provided information. The document specifies the total number of posts available and the categories for applicants.

Uploaded by

Shivansh Rana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

qaTA:-HOfaOTAOIOfZOHofau-R/aOTHO/2024-25/90 jco-10.01.

2025

yaHOZ0-3/2024/ 2443 fc5 22.10.2024 H ÀAfGch o fafo 9IHT

S.
Post Category Total
No. UR OBC SC ST EWS Post
1 Non PG JR (Hospital Administration) 01 01 01 03

(MHA) fqrf
2 ifGI YR Ayft fht GlT Al Non PG JR (Hospital Administration) T TdAT
15600-39100 yd sddT 50 5400 yzII
3

6
EELCE OF THE MAHATMA VIDUR AUTONOMOUS STATE MEDICAL COLLEGE,
BIJNOR

APPLICATION FOR THE POST OF


Name of Department...
1. (a) Full Name (Block Letter). Paste a Self
(b) Age & Sex Attested
2 Father's Name. Passport
3 Date of Birth. .Age.
Photograph
4. (a) Correspondence address with Tel
No.

(b)Permanent address with Tel

No..

General/E.W.S./O.B.C/S.C./S.T.
6 Belong to which category (Tick the category)
7 Registration No. with name of the Medical
Council.
8
Education Qualification (Please self-attested photocopy of document in support)
Board/Insti
Year of No. Of
Qualification Year of Passing tution/Univ % of Marks
Admission Attempts
ersity

High school
MBBS/BDS
Other
Qualification
9. (a) Present Employment post held since (if
any)..
(b) If yes, address of the present employer and NOCfrom the
employer..
10- Inquiry to any or disciplinary action
medical pending/taken during the study period at the
college..

Note: Enclosed document in support of information given on S.No. 3, 6, 7, 8& 9


DECLARATION BY THE CANDIDATE
I have declare that the above information is true, and correct to the best of my
knowledge and belief. Ihave not suppresses any material, facts of factual information. I
have never been debarred from appearing at any examination. I understand that my
candidature is liable to be rejected in the event of any mis-statement/discrepancies in the
particulars being detected and after my appointment in such an event. My services are
liable to be terminated without any notice to me or reason thereof. I undertake not to
make any claimn or compensation. If at any stage of my selection, my ineligibility for
candidature is cancelled as a result thereof.
No. of Enclosure:
(Signature of the Candidate)
Place....
Name:
Date....

You might also like