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12/16/22, 12:00 PM SHIFW

State Institute of Health & Family Welfare


(SIHFW)

Primary Information

Applicant’s Name PREETI LOH Post Selection NURSING OFFICER


(N.T.S.P)
E-mail PREETILOH79@GMAI Application ID 2102031819
L.COM
Mobile Number 7807149041 Date of Application 2022-12-16
Gender FEMALE Applicant's Date of Bi 1994-08-03
rth

Secondary Information

Applicant’s Father’s Name GURCHARAN SINGH LOH Applicant’s Mother’s Name KOMAL LOH
Nationality INDIAN Enter Your Nationality
Religion HINDU Whether applicant's yearly fam NO
ily income is less than Rs.2.5 l
akh
Category GENUNRESERVED

Applicant's Permanent Address

State/Union Territories RAJASTHAN District JODHPUR


Address Line 1 118, PHASE 3, ASHAPURNA CI Address Line 2
TY, PAL ROAD, JODHPUR
Tehsil JODHPUR CITY/VILLAGE JODHPUR
Pin Code 342008 Whether a Bonafide Resident NO
of Rajasthan

Marital Information

Marital Status MARRIED Date of Marriage 2022-04-21


Applicant’s Husband/wife's Na HARSH JOSHI Have you taken dowry at the ti NO
me me of Marriage ?

Are you opting to apply under NO


specially abled category

Sports Details

Outstanding sports person NO

Ex-Service Man NO
Whether you are regular employee of Rajasthan Government Se NO
vice

Educational Qualification Details

Qualification 12TH OR EQUIVALENT Name of Board CBSE


Roll No. 2707907 Year of Passing 2012-05
Total Marks 500 Marks Obtained 317

Professional Qualification Details

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Name of Diploma/Degree B.SC NURSING Name of Institution MAI KHADIJA INSTITUTE OF N


URSING SCIENCES, JODHPUR
Year 1 :-
Year of Passing Exam 2014-05 Total Marks 750
Marks Obtained 512
Year 2 :-
Year of Passing Exam 2015-09 Total Marks 650
Marks Obtained 398
Year 3 :-
3rd Year of Passing Exam 2016-06 Total Marks 750
Marks Obtained 531
Year 4 :-
Year of Passing Exam 2017-06 Total Marks 700
Marks Obtained 475

Details of Registration with Rajasthan Nursing Council

Registration Number RN-115663 , RM-106513 Date of Registration 2017-07-11


Date of Validity 2026-12-31 No. of experience certificate 0

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 req
uirement mentioned in the guidelines/advertisement , my candidature is liable to be cancelled/terminated at any stage of recruitme
nt 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

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12/16/22, 12:00 PM SHIFW

State Institute of Health & Family Welfare


(SIHFW)

Transaction Details

Transaction Status SUCCESS Transaction Number 65688654


ESH Transaction id eshf_639c0fa802509383167117 Payment Mode UPI
2008
Transaction Date 2022-12-16 Fees Amount (In Rs.) 500

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