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State Institute of Health & Family Welfare

(SIHFW)

Primary Information

Applicant’s Name PANKAJ Post Selection LAB TECHNICIAN FO

RM (NTSP)
E-mail JANGIRPANKAJ636@ Application ID
GMAIL.COM
Mobile Number 7014181490 Date of Application
Gender MALE Applicant's Date of Bi 1999-12-01
rth

Secondary Information

Applicant’s Father’s Name SURENDRA Applicant’s Mother’s Name NIRMLA DEVI

Nationality INDIAN Enter Your Nationality NA
Religion HINDU Whether applicant's yearly fam NO
ily income is less than Rs.2.5 l
akh
Category OBC-NCL - -

Applicant's Permanent Address

State/Union Territories RAJASTHAN District JHUNJHUNUN

Address Line 1 VLL- PEEPAL KA BASS Address Line 2 POST- BAJISAR
Tehsil MANDAWA CITY/VILLAGE PEEPAL KA BASS
Pin Code 333704 Whether a Bonafide Resident YES
of Rajasthan

Marital Information

Marital Status UNMARRIED

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 WITH SCIENCE-MATH/S Name of Board BSER AJMER

CIENCE-BIOLOGY.
Roll No. 2586819 Year of Passing 2016-05
Total Marks 500 Marks Obtained 333

Professional Qualification Details

Name of Diploma/Degree DMLT Name of Institution NORANG RAM DAYANAND DH

UKIA PARAMEDICAL SANSTHA
N
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Year 1 :-
Year of Passing Exam 2022-08 Total Marks 1350
Marks Obtained 909
Year 2 :-
Year of Passing Exam 2023-01 Total Marks 1350
Marks Obtained 840

Details of Registration with Rajasthan Paramedical Council

Registration Number 8358 Date of Registration 2023-01-27

Date of Validity 2026-01-26 No. of experience certificate 0

Decalaration:

Declaration: 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 understan
d that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility conditions accordi
ng to the requirement mentioned in the guidelines/advertisement , my candidature is liable to be cancelled/terminated at any stage
of recruitment 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 स
ही एवं पूर्ण है। मैं भलीभांति समझता/समझती हूँ कि किसी भी जानकारी या अपलोड दस्तावेज के गलत / मिथ्या पाये जाने पर या पात्रता की शर्त पूर्ण नहीं कर
ने 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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State Institute of Health & Family Welfare

(SIHFW)

Transaction Details

Transaction Status FAILED Transaction Number

ESH Transaction id Payment Mode
Transaction Date Fees Amount (In Rs.)

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