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Physician
Anesthetist
Med"ical Officer
Ayush Mo
Hospital Manager
Staff Nurse
X-Ray Technician
ECG Technician
Lab Technician
MO Medicine
Degree/Diploma in Anesthesia
MBBS
BAMS/BUMS
Any medical graduate with one year experience of Hospital administration GNM Bsc Nursing
Retd X-ray technician
Experience of ECG technician at least one year BSc DMLT
75000+ 111 ~.::
performance ~
75000+ 83
performance
60000 483
30000 183
35000 86
20000 1841
17000 77
17000 66
17000 132
covid19ddhstha
ne@gmail.com
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~ o Pharmacist O.Pharm/B.Pham 17000 198
~ ~ Stores Officer Any medical 20000 106 graduate with one year experience of Stores Officer
~~ DEO Any graduate but 17000 151 B.Com Will be
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National Health Mission Deputy Director Health services Thane
APPLICATION FORM District/Corporation name:
(All fields in the forms are mandatory to be filled.An incomplete form submitted will be treated as rejected.)
Exact Name Of Position Applied For:
Name: Father's/Husband's Name:
Date of Birth (00/MM/YYY): Blood Group: Gender: Marital Status: Existing NHM Nationality: Religion: Applying for Which
(Yes/No) Category Category
Address/Contact Details:(Name of the District and Pin code is compulsory) Address(Present): Address(Permanent):(Write same if same as
present Address) State: Pin: State: Contact No: Pin:
· Contact No:
E-mail Id For Correspondence: Alternate E-mail Id for correspondence (If any):
Languages English Hindi Marathi Others (please Specify below) Known: (Write •y• I "W)
I Computer Proficiency:
Academic/Professional Education Summary: Starting from most recent)
From To Degree/Diploma University/ Specialization/ Final Year Final Year (MM/YY) (MM/YY) Institute Subjects Total Marks Percentage
& Obtained Marks
(Work/Experience Summary:( Starting from current/most recent)
Sr.No. From To Organization Designation Responsibilities (MM/YY) (MM/YY) (Min.30and Max.50 Words)
Total Experience (In years & Month): Relevant Experience to the post applied (In Years & Months):
Notice Period/Joining Time (Days):
Details of internshipMlorkshops/Conferences/Trainings Attended(lf any):
Declaration: I hereby declare that all statements made in the application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue/false/incorrect or I do not satisfy the eligibility criteria my candidature will be cancelled, without assigning any reason thereof. I have read the content of the advertisement and agree to abide by the rules, regulations and procedures for appointment to the post applied for.
Name: Place: Date:
Signature
Disclaimer: The applicants are required to submit the duly filled application on or before the due date and time, failing which the application of the said applicant shall be treated as-responsive.NHM shall not b responsible for late receipt or non-receipt of applications for any technical reason or whatsoever. The applications· received after due date and time shall not be considered.