ALL INDIA INSTITUTE OF MEDICAL SCIENCES, RAJKOT, GUJARAT

(A Central Autonomous Institute of National Importance under Pradhan Mantri

Swasthya Suraksha Yojna (PMSSY), Ministry of Health, Government of India)

Registration No:
AIIMSRAJ2023002010

Applied for: Group: Category in which you are applying for:

Assistant Laundry Supervisor Group C Unreserved

PERSONAL INFORMATION DETAILS

Enter Father/Spouse Name:

Passport Size Applicant Full Name: GOHIL JAYVANTSINH
Photo: GOHIL BHAVESHSINH SHANTUBHA
JAYVANTSINH
Email address:
Enter Mother's Name: gohil9909535838@gmail.com
GOHIL JYOTIBA JAYVANTSINH
Choice of Test Center:
Mobile Number: Rajkot (Gujarat)
9909535838 Ahmedabad (Gujarat)
Mumbai (Maharashtra)

ADDITIONAL INFORMATION DETAILS

Aadhaar No:
712143772130
Are you an Ex Service men
(ESM)?
Do you Possess J&K Domicile between 01.01.198 0 to 31.12.1989?
No
No
Date of Birth:
Whether belong to PwBD: (Minimum 40% disability will be
18-01-1996
considered.):
No
 Marital Status:
Religion: Gender: Married
HINDU Male
Signature:
State of Domicile: Nationality :
Gujarat Indian

COMMUNICATION ADDRESS

Current Residential Address:

At Rajpara ta jesar

Mobile No:
Alternate Mobile/Phone No:
9909535838

City: Postal Code: state:

Bhavnagar 364510 Gujarat

PERMANENT ADDRESS

Permanent Residential Address:

At Rajpara ta jesar

Mobile No:
Alternate Mobile/Phone No:
9909535838

City: Postal Code: state:

Bhavnagar 364510 Gujarat

QUALIFICATION DETAILS

Subject / University Date of Marks

Discipline / /Institute / completion of Obtained / Percentage(%)
Specialty College course Total Marks
10th SSC GSEB 15-03-2011 300 500
12th COMMERCE GHSEB 03-05-2013 435 700
Mkb
Graduation Accountancy 08-06-2016 328 700
University
Post Saurashtra
HRM 02-08-2018 1033 2000
Graduate University
EXPERIENCE DETAILS

Post Held From Pay Name/Employer's

To Date Nature of Job
Temporary/Permanent Date Scale Address
23-05- 31-01- Military Hospital
Permanent 20900 WASHERMAN
2018 2056 Jamnagar
If yes, what notice period would you require
Are you presently employed with Central/State
before joining the Institute (Days):
Govt or autonomous bodies?
Yes

Present Employment details(if Total

Pay Name/Complete Address of present
any) Present employment/post Emoluments
Scale Employer with (phone no & email)
held drawn
Mh Jamnagar, infantry line,
Mh Jamnagar 20900 38873 pawanchakki, Jamnagar. Mo-
9376995361

Submit below the full details of persons of repute, knowing you well or served with you .

Full Name Designation Institution Address Mobile No. Email

State the languages you know:

Language Can read Can write Can speak

HINDI Yes Yes Yes
GUJARATI Yes Yes Yes
ENGLISH Yes Yes Yes

Achievements:

Details of Prizes,Medals,Scholarship & National/international Awards etc.

NA
Documents:

List of Uploaded Documents

1. Passport Size Photo

2. Upload Signature
3. Matriculation Certificate(DOB Certificate)
4. Intermediate (12th)
5. Graduation Certificate
6. Post Graduation Certificate
7. Experience Certificate(s)
8. NOC - If Applicable