State Institute of Health & Family Welfare
(SIHFW)
Primary Information
| Applicant’s Name | Post Selection | ||
|---|---|---|---|
| Application ID | |||
| Mobile Number | Date of Application | ||
| Gender | Applicant's Date of Birth |
Secondary Information
| Applicant’s Father’s Name | Applicant’s Mother’s Name | ||
|---|---|---|---|
| Nationality | Enter Your Nationality | ||
| Religion | Whether applicant's yearly family income is less than Rs.2.5 lakh | ||
| Category |
Applicant's Permanent Address
| State/Union Territories | District | ||
|---|---|---|---|
| Address Line 1 | Address Line 2 | ||
| Tehsil | CITY/VILLAGE | ||
| Pin Code | Whether a Bonafide Resident of Rajasthan |
Marital Information
| Marital Status | |||
|---|---|---|---|
| Are you opting to apply under specially abled category |
|---|
Sports Details
| Outstanding sports person |
|---|
| Ex-Service Man | |
|---|---|
| Whether you are regular employee of Rajasthan Government Sevice | NO |
Educational Qualification Details
| Qualification | 12TH OR EQUIVALENT | Name of Board | |
|---|---|---|---|
| Roll No. | Year of Passing | ||
| Total Marks | Marks Obtained |
Professional Qualification Details
| Name of Diploma/Degree | Name of Institution |
|---|
Details of Registration with Rajasthan Nursing Council
| Registration Number | Date of Registration | ||
|---|---|---|---|
| Date of Validity | No. of experience certificate |
Decalaration:
| I hereby declare that I fulfill the eligibility conditions for the post as per the advertisement and that all the statements made in this application & uploaded documents are true , complete and correct to the best of my knowledge and belief.I understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility conditions according to the requirement mentioned in the guidelines/advertisement , my candidature is liable to be cancelled/terminated at any stage of recruitment and action can be taken against me by the competent authority. / मैं घोषणा करता/करती हूँ कि मैं विज्ञप्ति अनुसार इस पद के लिए पात्रता की शर्ते पूर्ण करता/करती हूँ , एवं मेरी जानकारी एवं विश्वास के अनुसार इस आवेदन में दिए गये, समस्त तथ्य एवं अपलोड किए गए दस्तावेज सही एवं पूर्ण है। मैं भलीभांति समझता / समझती हूँ कि किसी भी जानकारी अपलोड दस्तावेज के गलत / मिथ्या पाये जाने पर या पात्रता की शर्त पूर्ण नहीं करने की स्थिति में मेरा आवेदन किसी भी स्तर पर निरस्त / समाप्त किया जाकर सक्षम अधिकारी मेरे विरूद्ध कार्यवाही करने हेतु स्वतंत्र होंगे। | |||
|---|---|---|---|
| Applicant Signature | |||
State Institute of Health & Family Welfare
(SIHFW)
Transaction Details
| Transaction Status | FAILED | Transaction Number | |
|---|---|---|---|
| ESH Transaction id | Payment Mode | ||
| Transaction Date | Fees Amount (In Rs.) |