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Sri Guru Ram Das Institute of Medical Sciences _ Research

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					 Sri Guru Ram Das Institute of Medical Sciences & Research
                    Mehta Road, PO Vallah, Sri Amritsar – 143 501

                         Application Form for the Post of
   Staff Nurse                                         
                         Radiographer Security Guard Laboratory Tech.
                                                                       (Tick appropriate box)

Name                 :
Father’s Name        :
Date of Birth        :
Sex                  : Male      Female                                  Photo

Address              :



Tel No.              :                          Mobile No. :
Email                :
Educational Qualification
Qualification   Board/Univ.   Year of Passing     Marks Obt.   Max Marks     Percentage




Experience, if any :




Date:                                                                          Signature


Attachments:
   1. Bank Demand Draft of Rs. 300/- (Rs. Three Hundreds only) in favour of Principal,
      Sri Guru Ram Das Institute of Medical Sciences & Research, Sri Amritsar
      payable at Amritsar.
   2. Attested Copies of :
         a. Matriculation Certificate
         b. Senior Secondary Certificate Part II (10+2)
         c. Diploma/Degree/Registration, as applicable
         d. Experience Certificate, if any
Note:
   1. Last date for receipt of Application Form completed in all respects along with
      Bank Demand Draft and other testimonials is 25-06-2008 up to 04:00 pm.
   2. Date of Interview is 28-06-2008 at 10:00 am in the Institute at above mentioned
      address.
   3. For the post of Staff Nurses, preference will be given to B.Sc. (Nursing) Degree
      Holders and Staff Nurses with OT/Labour Room Experience.
   4. For the post of Staff Nurses, upper age limit is 35 years.
   5. For the post of Security Guards, upper age limit is 45 years.



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