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Applicant Details District Preference Details
Personal Details
Application Sequence No
NHMCHO1079564
Candidate's Full Name
NISHEE PATEL
Marital Status Nationality
Unmarried Indian
Father's Name
NARENDRA KUMAR
Mother's Name
PUSHPA DEVI
Post Applied Details
Post Applied Post Code
Community Health Officers - CCHN 01
Category Gender
UR Female
Date of Birth (DD-MM-YYYY) same as Matriculation/ Secondary Certificate
08/Jun/1993
Age as on 14.07.2022
29 Years 1 Months 6 Days
Are you UP domiciled Are you Physically Handicapped (PH) (degree of disability 40% or above)?
Yes No
Examination Center Choice 1 Examination Center Choice 2
Kanpur Lucknow
Examination Center Choice 3
Prayagraj
Contact Details
Mobile Number
8081334654 Email ID
[email protected]
Present Address
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Address Line 1
VILL URSAN
Address Line 2
POST URSAN
State
Uttar Pradesh
Country
India
District Pin Code
Kanpur Dehat 209301
Permanent Address
Is Permanent Address same as Present Address?
Yes
Address Line 1
VILL URSAN
Address Line 2
POST URSAN
State
Uttar Pradesh
Country
India
District Pin Code
Kanpur Dehat 209301
Matriculation (10th) Details
Name of the Board/Council
UP BOARD
Subject Combination
SCIENCE
Institute Name
JAN KALYAN I C URSAN KANPUR DEHAT
Year Of Passing Percentage of Marks
2006 55.83
Intermediate (12th) Details
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Name of the Board/Council
UP BOARD
Subject Combination
PCB
Institute Name
V N R INT COLL PUKHRAYAN KANPUR DEHAT
Year Of Passing Percentage of Marks
2009 55.60
Essential Qualification Details
Degree Name University Name/Board Name
B.Sc. Nursing JIWAJI UNIVERSITY GWALIOR
Year Of Passing Percentage of Marks
2016 74.75
Are you registered as Nurse and Midwife from UP Nurses & Midwives Council and have valid registration certificate at the time of online submission of application.
Yes
Kindly enter your certificate registration no. issued by the UTTAR PRADESH NURSES & MIDWIVES COUNCIL.
8650
Have you been engaged for Covid Management as outsourced/temporary HR/contractual and worked at Public Health facilities and/or worked for Management of
Covid through administration under Department of Medical Health and Medical Education in Uttar Pradesh?
No
Candidate Documents/Images Upload Details
Photo
Signature
Declaration
I hereby, solemnly declare that information provided by me in the form is true to the best of my knowledge and belief. I understand that my
candidature is subject to the conditions laid down in the advertisement brochure. I further declare that I am not involved in any criminal case
and/or no such case is pending against me in any court of law.In case of any falsification found in shared details, my candidature may be
cancelled for the said position and Legal action may be initiated.
Version 14.04.01
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