Jan Swasthya Paraamarsh Sahayata Aavam Chikitsa Training Help Organization

Recruitment Form/भर्ती प्रपत्र – 2025 (रजिस्ट्रेशन करे)

PERSONAL DETAILS

Candidate's Name (English):

अभ्यर्थी का नाम (हिन्दी):

Father's Name/पिता का नाम :

Mother's Name/माता का नाम :

Date Of Birth/जन्मतिथि :

Age As On Date/आज की तिथि के अनुसार आयु :

Gender/लिंग :

Mobile number/मोबाइल नंबर :

Whatsapp number/मव्हाट्सएप नंबर :

Email Id/ईमेल आईडी :

Guardian Contact Details:-

Mobile number/मोबाइल नंबर :

Whatsapp number/मव्हाट्सएप नंबर :

Email Id/ईमेल आईडी :

Permanent Address/स्थाई पता :

Correspondence Address:-

Permanent Village/Mohalla:

Panchayat/पंचायत :

Post:

Block/ब्लॉक :

Police Station:

District/जिला :

Postal Pin Code/डाक पिन कोड :

State/राज्य :

Nationality/राष्ट्रीयता :

Category/श्रेणी :

Aadhaar Number/आधार संख्या :

Pan Number/पैन संख्या :

Educational Details

Certificate	School/Board	Year of Passing	Subject	% of Marks
High School
Intermediate
Others

Experience Details

Name of Organization	Period of Service	Reason for Leaving

Whether Computer Operational Knowledge:

Yes

Attach Photograph/फोटो संलग्न करें : Max file size: 3MB

Attach Signature/हस्ताक्षर संलग्न करें : Max file size: 3MB

Input this code below: Captcha * 5393

Jobs & Carrier

Recruitment Form/भर्ती प्रपत्र – 2025 (रजिस्ट्रेशन करे)

PERSONAL DETAILS

Guardian Contact Details:-

Correspondence Address:-

Educational Details

Experience Details

IMPORTANT WEBSITE

Quick Links

Google Map

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Jobs & Carrier

Recruitment Form/भर्ती प्रपत्र – 2025 (रजिस्ट्रेशन करे)

PERSONAL DETAILS

Guardian Contact Details:-

Correspondence Address:-

Educational Details

Experience Details

IMPORTANT WEBSITE

Location :

Phone :

Mail Us :

Quick Links

Google Map

SIGN UP TO OUR NEWSLETTER

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