Application invite for ANM under the National Health Mission, Uttar Pradesh

Already applied? Click here to View/Print your application.
Format of Principal
Portal will be closed on 19-03-2021 at 11:59 PM.
Title *
 
Applicant's Name *
   
Gender *
 
Date of Birth *
   
Age on 01/01/2021 *
Father’s Name *
   
Mother’s Name *
   
Mobile Number *
   
Marital Status *
 
PAN Number
 
Aadhaar Number *
   
Email ID *
   
State*
 
Permanent Address*
 
Tick if current address is same
Current Address
 
Reservation Category *
 
Home District *
 
State Nursing Council Registration *
 
Special Category
Indian Nursing Council Number
Other Achievements
 

Educational Qualification/ Details
Examination Passed * Institution/College * Board/ University * Year of Passing * Final obtained Marks * Maximum Marks * % Marks *
10th*                
12th*                
Integrated B.Sc.(N)/ PB.B.Sc.(N) *                

District Preferences (CHO position is not transferable, please choose district preferences accordingly)

Distric Preference 1 *
 
Distric Preference 2 *
 
Distric Preference 3 *
 
Distric Preference 4 *
 
Distric Preference 5 *
 
Distric Preference 6 *
 
Distric Preference 7 *
 
Distric Preference 8 *
 
Distric Preference 9 *
 
Distric Preference 10 *
 
Distric Preference 11 *
 
Distric Preference 12 *
 
Distric Preference 13 *
 
Distric Preference 14 *
 
Distric Preference 15 *
 
Distric Preference 16 *
 
Distric Preference 17 *
 
Distric Preference 18 *
 
Distric Preference 19 *
 
Distric Preference 20 *
 
Distric Preference 21 *
 
Distric Preference 22 *
 
Distric Preference 23 *
 
Distric Preference 24 *
 
Distric Preference 25 *
 
Distric Preference 26 *
 
Distric Preference 27 *
 
Distric Preference 28 *
 
Distric Preference 29 *
 
Distric Preference 30 *
 
Distric Preference 31 *
 
Distric Preference 32 *
 
Distric Preference 33 *
 
Distric Preference 34 *
 
Distric Preference 35 *
 
Distric Preference 36 *
 
Distric Preference 37 *
 
Distric Preference 38 *
 
Distric Preference 39 *
 
Distric Preference 40 *
 
Distric Preference 41 *
 
Distric Preference 42 *
 
Distric Preference 43 *
 
Distric Preference 44 *
 
Distric Preference 45 *
 
Distric Preference 46 *
 
Distric Preference 47 *
 
Distric Preference 48 *
 
Distric Preference 49 *
 
Distric Preference 50 *
 
Distric Preference 51 *
 
Distric Preference 52 *
 
Distric Preference 53 *
 
Distric Preference 54 *
 
Distric Preference 55 *
 
Distric Preference 56 *
 
Distric Preference 57 *
 
Distric Preference 58 *
 
Distric Preference 59 *
 
Distric Preference 60 *
 
Distric Preference 61 *
 
Distric Preference 62 *
 
Distric Preference 63 *
 
Distric Preference 64 *
 
Distric Preference 65 *
 
Distric Preference 66 *
 
Distric Preference 67 *
 
Distric Preference 68 *
 
Distric Preference 69 *
 
Distric Preference 70 *
 
Distric Preference 71 *
 
Distric Preference 72 *
 
Distric Preference 73 *
 
Distric Preference 74 *
 


10th Marksheet/ Provision*
   
B.Sc.(N)/PB.B.Sc.(N) Final Marksheet/ Degree/ Provision*
   
State Nursing Council Registration/ Application acknowledgement*
   
College Principal Format *
   
PAN/ Aadhaar *
   
INC Certificate
 
Caste Certificate
 
Special Category Certificate -Physical Disability
 
Special Category Certificate -EWS
To be Certified/Issued by an officer Not below the rank of Tehsildar in State
 
Upload Photograph *
(File should be in JPG/PNG format and less than 100KB)
   
I hereby declare that the above information is true & best of my knowledge and I take sole responsibility that the organization may take legal action against me and cancel my candidature if any mismatch found in the aforesaid information provided by me.
Note: District Allocation to the candidate is based on multiple criteria such as merit/marks under the category, availability of vacancy under reservation category in the respective district. Allocation of the districts to the candidate shortlisted under the category and as the information provided by the candidate for district preference. However, it is to notify that district preference is taken only as one of the parameter for district allocation and any claim regarding the same is not the right of the candidate. No claim regarding district allocation will be entertained.

If called for document verification, the candidate is required to bring copies of the following documents:
  • 10th Marksheet/ Provision
  • B.Sc.(N)/PB.B.Sc.(N) Final Marksheet/ Degree/ Provision
  • State Nursing Council Registration/ Application Acknowledgement
  • College Principal Format
  • PAN/ Aadhaar
  • INC Certificate
  • Caste Certificate (if applicable)
  • EWS Certificate (if applicable)
  • Physical disabled Certificate (if applicable)
* For any queries, contact us at tollfree number 104