Online Application for NHM

Portal will be closed on 28-03-2022 at 11:59 PM.

Title *

Applicant's Name *

Manav Sampada ID (eHRMS Code) *

Position Applied For*

Date of Birth *

Age on 02/03/2022 *

Father’s Name *

Aadhaar Number *

Mobile Number *

Email ID *

Permanent Address*

Present Address*

Date of initial joining in service*

Current Designation*

UP State Nursing and midwife Council Number *

Employee Type*

Current Posting District*

ANMTC/LHV Preference*

Nursing/Midwife qualification *

Educational Qualification/ Details

Examination Passed *	Institution/College *	Board/ University *	Year of Passing *	Final obtained Marks *	Maximum Marks *	% Marks *
10^th*
12^th*
ANM/GNM/B.Sc Nursing *

10th Mark sheet*

Intermediate Mark sheet *

ANM/GNM/B.Sc Nursing Final Marksheet*

UP State Nursing and midwife Council certificate *

Aadhaar *

Upload Photograph *
(File should be in JPG/PNG format and less than 50KB)

Upload Signature *
(File should be in JPG/PNG format and less than 50KB)

I hereby declare that the above information is true & to best of my knowledge. If any mismatch found in the aforesaid information provided by me the organization may take legal action against me and cancel my candidature.

Note: At the time of the Interview all shortlisted candidates have to bring their all original documents for verification.

Application for Selection of PHN Tutor, GNM, ANM Trainer at ANMTCs in Dept. of Medical Health and Family Welfare