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

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Portal will be closed on 30-09-2021 at 11:59 PM.
Manav Sampada ID (eHRMS Code)
Title *
Applicant's Name *
Date of Birth *
Age on 03/01/2022 *
Father’s Name *
Aadhaar Number *
Mobile Number *
Email ID *
Permanent Address*
Present Address*
Date of initial joining in service*
Present Designation*
R.N.R.M- UP State Nursing Council Number *
Employee Type*
Posting District*
Department of Posting*
Posting Facility *
Preference District 1*
Preference District 2*
Preference District 3*

Educational Qualification/ Details
Examination Passed * Institution/College * Board/ University * Year of Passing * Final obtained Marks * Maximum Marks * % Marks *
10th*
12th*
B.Sc / P.B.B.Sc(N)  Nursing *
M.Sc Nursing
Clinical/hands on experience of conducting deliveries *
Knowledge of computer usage*


10th Mark sheet*
Intermediate Mark sheet *
B.Sc(N) / P.B.B.Sc(N) Final Year Marksheet*
M.Sc(N) Final Year Marksheet
R.N.R.M- UP State Nursing 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.
* For any queries, contact us at tollfree number 104