PUSHPANJALI COLLEGE OF NURSING

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New Recruitment

What position are you applying for?

Name :

Date Of Birth :

4:	Gender :		*	5:	Marital Status :		*
6:	Mobile :		*	7:	Email :		*

Complete Postal Address :

City :

10:

State :

11:

Postal/Zip Code :

11: Education Details
	Name of College & University	Year of Passing	Marks obtained (%)	Registration No. with State Name	Specilization
10th
12th
B. Sc. - Nursing
M. Sc. - Nursing
Professional Course 1
Professional Course 2

12:	Preferred Subject of teaching :		*
13:	Please attach PPT of any Topic of your choice (Subject) :
14:	List of research paper published in recognised journal :
15:	List of published books :
16:	Joining Time required :	Joining Time Maximum 2 Months.	*

17: What is your current employment status?
Employer Details	Name of Employer	Working period	Designation	Last Monthly Salary
Current Employer
Previous Employer
Previous Employer
Previous Employer
Previous Employer

New Registration

17: Permanent Address :			18: Address for Correspondence :
19: Email Id :

21: Document Uploaded :-
Upload	Xth Mark sheet	Upload	Xth Certificate
Upload	XIIth Mark sheet	Upload	Last Exam Passed Mark sheet
Upload	Migration Certificate (TC)	Upload	Income Certificate
Upload	Certificate of Category	Upload	AADHAAR CARD
Upload		Other Certificate (Sports / NCC / Music / etc)

Pushpanjali College Of Nursing

100 Feet Road,
In Front Of Pushpanjali Heights,
Dayal Bagh, Agra - 282005
(U.P.) India.

Contact Us

Phone: +91 7500450003
Email: pushpanjalieducation@gmail.com

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