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    Karan Jaiswal
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    Nurse_merged

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    2 views4 pages

    Nurse Merged

    Uploaded by

    Karan Jaiswal

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 4

    Dr.

    RAM MANOHAR LOHIA INSTITUTE OF MEDICAL SCIENCES


    VIBHUTI KHAND, GOMTI NAGAR, LUCKNOW – 226010PHONE No.
    0522-6692000, 6692101, Website:- www.drrmlims.ac.in
    Ref No.- 587/CON/Dr.RMLIMS/2024/CON/PR Cell Date: 26 June, 2024

    WALK IN INTERVIEW

    Applications are invited on prescribed format for employment of Guest Faculty/Part-


    time Teachers for The College of Nursing of the Institute for current session. The
    application format can be downloaded from the Institute’s website
    www.drrmlims.ac.in. The walk interview will held on 23rd July, 2024 at Academic
    Block, 5th floor C-Block, College of Nursing, Dr. RMLIMS, Lucknow. The reporting
    time is 11:00AM.
    Note- Candidates should fulfill the eligibility criteria as laid down by Indian Nursing
    Council.

    Director

    1/3
    College Of Nursing
    DR. Ram Manohar Lohia Institute of Medical Sciences
    Vibhuti Khand, Gomti Nagar, Lucknow– 226010.
    PHONE No.-0522-6692000, 6692101, Website: - www.drrmlims.in
    ____________ _

    APPLICATIONFORMFORGUESTFACULTY
    Advertisement No.& Dated
    Post Applied For Department

    1. Full Name (In Block Letters):

    2. Father's / Husband's Name:


    Affix recent
    Passport Size
    3. Date of Birth:
    Photograph with
    Signature
    4. Place of Birth:

    5. Age (as on date of advertisement) Years Months days

    6. Nationality:
    7. Sex: Male/ Female

    8. Marital Status: Married /Unmarried_

    9. Category: Gen/SC/ST/OBC/Pc._

    10- Adhaar No._______________________________ Pan No.___________________________

    11- Present Address for correspondence (with PIN code):

    Mob.

    E-Mail:

    12. Permanent Address (With PIN code):

    Mob.

    E-Mail:______________________

    2/3
    13. Academic Qualifications (attach attested copies):

    Examination Passed Year of Board/ % of Marks Division Subje Remarks


    Passing University /Grade ct
    High School

    Intermediate/(10+2)

    Graduation

    Post Graduation

    Other, if any

    Technical Qualification (If any)

    14. Details of Experience:


    Name of employer Date of Date of Position & Salary & Grade Reasons for leaving the job, if
    joining leaving Nature of duties Pay any

    (If the space is not sufficient, please attach a separate sheet.)

    15. Any other information: -……………………………………………………………………………………………...

    ………………………………………………………………………………………………………………………….

    DECLARATION
    I hereby declare that all the entries in this application form are true to the best of my knowledge and
    belief. I also declare that I have not concealed any material information which may debar my candidature for the
    post applied for. In the event of suppression or distortion of any facts like category or educational qualifications
    etc. made in my application form I understand that I will be denied any employment in the University and if
    already employed on any of the posts in the University, my service will be terminated forth with.

    Place:
    Date:
    Signature of the Applicant

    Details of enclosures

    1. High School (Mark sheet & Certificate)


    th
    2. Intermediate/Hr. Sec./11 (Mark sheet & Certificate)
    3. Bachelor’s Degree (Mark sheet & Degree)
    4. Master’s Degree (Mark sheet & Degree)
    5. PhD.
    6. Post. Doctoral
    7. Other Certificates/ documents (kindly provide the name)

    3/3

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