Application For Employment(ihat-up-tsu)

Personal Details

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Image size should be less than 400kb.

Complete Name as per records*
Name of Father/Husband & Relationship *
Nursing Council Registration No.*
I. Present Address*
Mobile Number *
Telephone Number
Alternative Mobile Number
Email*
II.Permanent Address (if different)
Mobile Number
Telephone Number
Email
Date of Birth*
Sex*
Marital Status

Educational Details

(Start with 10th till higher education in chronological order)

Name of Exam* Board / University* Year of passing* Subject Div/ Grade

Current Employment Detail

(In case currently unemployed, please mention the previous employment details)

Employment Status
Fresher
Experienced
Name of organization, address & Telephone number*
Position held/ Designation*
Duration (in date format)*
Nature of duties & responsibilities*
Major Achievement
Major areas of interest
Type of employment (Regular/ contract/ Ad-hoc Assignment)
Gross Emolument per month*

Previous Experience

(In case you don’t have previous experience, please mention current employment details)

Name of organization* Duration (in date format)* Position held* Nature of duties and responsibilities (in brief) Gross emolument per annum in INR*

Please highlight relevant experience possessed by you as required in the position-JD: And also highlight your job achievements if any.*

Other Details

Have you ever been interviewed by IHAT(if yes, when and for what position)*
Yes
No
Are you willing to be posted anywhere in IHAT project areas?
Yes
No
Joining time required if selected:
Do you have any relatives working in any IHAT project areas? If so, specify the details (name, designation, location)

Knowledge of Languages

Language* Level*
Name & Address of two references (Not relatives) with telephone/fax/ e-mail id*

Place:*

Signature of Candidate* Signature should be less than 50kb.

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I hereby declare that above information furnished by me is true to the best of my knowledge and belief. Information submitted by me is subject to verification at any point during my association with IHAT