6/11/23, 9:52 PM SHIFW
State Institute of Health & Family Welfare
(SIHFW)
Primary Information
Applicant’s Name DHEERAJ KUMAR Post Selection NURSING OFFICER
(N.T.S.P)
E-mail DHEERAJCHOUHAN0 Application ID NO213065
00@[Link]
Mobile Number 8769772735 Date of Application 2023-06-11
Gender MALE Applicant's Date of Bi 1998-02-25
rth
Secondary Information
Applicant’s Father’s Name HEERA LAL Applicant’s Mother’s Name SANTOSH PARMAR
Nationality INDIAN Enter Your Nationality
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 JALOR
Address Line 1 KHARA VERA KI SERI AHORE Address Line 2 AHORE, 307029
Tehsil AHORE CITY/VILLAGE AHORE
Pin Code 307029 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 OR EQUIVALENT Name of Board BSER
Roll No. 1576987 Year of Passing 2015-05
Total Marks 500 Marks Obtained 345
Professional Qualification Details
Name of Diploma/Degree [Link] NURSING Name of Institution JIET COLLEGE OF NURSING, J
ODHPUR
Year 1 :-
[Link] 1/3
6/11/23, 9:52 PM SHIFW
Year of Passing Exam 2017-10 Total Marks 750
Marks Obtained 471
Year 2 :-
Year of Passing Exam 2018-12 Total Marks 650
Marks Obtained 419
Year 3 :-
3rd Year of Passing Exam 2019-02 Total Marks 750
Marks Obtained 603
Year 4 :-
Year of Passing Exam 2020-05 Total Marks 700
Marks Obtained 512
Details of Registration with Rajasthan Nursing Council
Registration Number 158961 Date of Registration 2020-12-28
Date of Validity 2024-12-31 No. of experience certificate
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
[Link] 2/3
6/11/23, 9:52 PM SHIFW
State Institute of Health & Family Welfare
(SIHFW)
Transaction Details
Transaction Status SUCCESS Transaction Number 110329039
ESH Transaction id eshf_6485f2c2074c6383168650 Payment Mode UPI
0034
Transaction Date 2023-06-11 Fees Amount (In Rs.) 350
[Link] 3/3
