Application Form https://g21.digialm.com/EForms/WorldLineAfterPayment.do?60511Z...

Application Details

Applicant Sequence Number: DR09349

Medical Officer AYUSH (Ayurvedic Yoga and Naturopat
Name of Posts:
hy Unani Siddha Homeopathy)
Advertisement No: 2019/122

ARE YOU EMPLOYEE OF AIIMS RISHIKESH: No

Candidate's Name: DEEPAK JOSHI

Father's Name: GOVERDHAN JOSHI
Mother's Name: KAMALA JOSHI
Mobile No: 9808826355
Alternate Mobile No: 8077659892
Email Id: djoshi2122@gmail.com
Aadhar card No: 818750218842
Gender: Male
State: Uttarakhand
Home District: Nainital
Date of Birth: 07/Jan/1991
Age (as on 28.05.2019) 28 Years 4 Months 21 Days

Category: GENERAL
Sub-Category: NONE
Nationality: INDIAN
Are you a Govt. Employee: No
Marital Status: UNMARRIED

Address Line 1: Gokuldham Colony, Village Jaidevpur

Address Line 2: Near Universal Convent School
Address Line 3: RTO Road, Haldwani
State: Uttarakhand
District: Nainital
Pin Code: 263139

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Permanent Address Line 1: Gokuldham Colony, Village Jaidevpur

Permanent Address Line 2: Near Universal Convent School
Permanent Address Line 3: RTO Road, Haldwani
Permanent State: Uttarakhand
Permanent District: Nainital
Permanent Pin Code: 263139

Preferred Test Center State 1: Uttarakhand

Preferred Test Center City 1: Haldwani
Preferred Test Center State 2: Uttarakhand
Preferred Test Center City 2: Dehradun
Preferred Test Center State 3: Uttarakhand
Preferred Test Center City 3: Roorkee

Fee Amount: 1500

Payment Status: Payment Successful

I do hereby declare that all statements made in application are true, complete and correct to the best of my knowledge and belief. I also declare that I have submitted
one application only. I am duly aware that in the event if any particulars or information furnished by me is found to be false/incorrect/incomplete or I would found
indulging in some unlawful act at any time, my candidature for the post is liable to be summarily rejected/cancelled and in the event of any statement/information
submitted found false/incorrect even after my appointment, my services are liable to be terminated without any notice. I also understand and agree that Test City/Test
State choice filling does not guaranty, that I will get the preferred city/state.

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