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

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)

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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