ayushiman physion

Description
form

FORMAT FOR BIO-DATA FOR THE POST (Ayush Physician)
1. Name:

--------- ---------------------------------------------------------------------------------------------- (Age as on 31.08.2011) --------------------------------

2. Father’s/ Husband’s Name: 3. DOB: 4. Sex: 5. Address:

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------6. Contact No (with STD code)/Mobile No.: ------------------------------7. Permanent Address:

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------8. Registration No.: ----------------------------------------------------------

9. Category. Gen/SC/ST/OBC/Minority/Govt. Servant

10. Educational Qualification: Sr. No. Qualification Year of passing Board/University % age of Marks obtd. No of Attempt Other Information/ Remarks

11. Experiences : Sr. No. Post Held Hospital/ Institution

(Signature of Candidate)



doc_763302568.doc
 

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