Application Form Non-PG Junior Resident | Lady Hardinge Medical College
LADY HARDINGE MEDICAL COLLEGE & ASSOCIATED HOSPITALS, NEW DELHI
(APPLICATION FORM FOR THE POST OF NON-PG JUNIOR RESIDENT ON TENURE/REGULAR BASIS)
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Mandatory Fields
Choose Stream
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Medical
Dental
Name of Candidate
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Name of Father/Husband
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Choose Status
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Married
Unmarried
Upload Recent Passport Size Photograph
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Permanent Address
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Pincode
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Mobile No
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Present Address
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Pincode
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Mobile No
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Email ID
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Select Category with documentary evidence
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--Select--
SC
ST
OBC
EWS
GEN
Attach Document
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If PWD Candidate
--Select--
Yes
No
Attach Document
Religion
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--Select--
Hindu
Muslim
Christian
Nationality
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--Select--
India
Date of Birth
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Age as on last date of submission of application
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Marks Obtained in Final MBBS/BDS Examination
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Percentage in Final MBBS/BDS Examination
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Date of Internship completion (Between 06.07.2022 to 05.07.2024)
Name of the Institution
No. of attempt in
1st Prof.
2nd Prof.
3rd Prof.
Performance in Final MBBS/BDS Examination
Subject
Name of University
Maximum Marks
Marks Obtained
Percentage
Add
Subject
Name of the University
Maximum Marks
Marks Obtained
Percentage
House Job and Junior Residency(Non - Academic) done/doing (if any) -
Mention Period and Hospital
DMC/DDC Reg No.
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Date
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Receipt Number(Payment through Bharatkosh)
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Amount(Rs.)
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List of Enclosures
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--Select--
10th Certificate for Age Proof
Marks Sheets of MBBS/BDS Part I,II and Final Year
Internship Completion Certificate
DMC/DDC Registration Certificate
MBBS/BDS Attempt Certificate
MBBS/BDS Degree
Caste/Community/Disability Certificate(if applicable)
Address Proof (copy of aadhar card,PAN, DL,voter ID Card etc)
Receipt(Online Payment through Bharatkosh)
OBC Non-Creamy Layer Certificate issued after 01.04.2024
Attachment
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Enclosure Type
File Name
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Declaration:
I solemnly declare that all the above statements made in this application for the applied post are true , correct to the best of my knowledge and belief and in the event of any information being found false or incorrect or any eligibility being detected before or after the test/document verification, my candidature is liable to be cancelled and legal action may be initiated against me.
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