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Telangana NHM Support Engineer Application

The document is a recruitment notification from the Government of Telangana for the position of Support Engineer under NHM on an outsourcing basis. It includes an application form that requires personal details, educational qualifications, work experience, and supporting documents. Candidates must self-attest their documents and provide a declaration of the accuracy of their information.

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bogisanthosh2022
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7 views2 pages

Telangana NHM Support Engineer Application

The document is a recruitment notification from the Government of Telangana for the position of Support Engineer under NHM on an outsourcing basis. It includes an application form that requires personal details, educational qualifications, work experience, and supporting documents. Candidates must self-attest their documents and provide a declaration of the accuracy of their information.

Uploaded by

bogisanthosh2022
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

// 1 //

GOVERNMENT OF TELANGANA
DISTRICT MEDICAL AND HEALTH OFFICE, ADILABAD DISTRICT.
RECRUITMENT NOTIFICATION NO.03/2025, Date: 13/10/2025
APPLICATION FOR THE POST OF SUPPORT ENGINEER UNDER NHM ON
OUTSOURCING BASIS
APPLICATION FORM

Registration No:
(For office use only)
Name of the
1
Candidate
Name of the
2.a
Father
Name of the
2.b Paste Photograph
Mother
Name of the here and sign across
2.c Husband by Self attestation
(If married)
3 Gender Sex

4 Date of Birth

Social Status OC BC – A BC – B BC – C BC – D BC – E SC ST EWS


5
(Please tick)
Whether YES / NO
physically
6
handicapped HH / OH / VH
(Please tick)
Whether Ex-
Service
7. YES / NO
man/woman
(Please tick)

Details of School Education

CLASS YEAR OF PASSING DISTRICT IN WHICH STUDIED


I
II
III
IV
V
VI
VII

District to which candidate belongs as per presidential order:

Educational Qualifications:
YEAR OF
QUALIFICATION NAME OF THE COLLEGE/ UNIVERSITY
PASSING

Contd…..2.
// 2 //

Marks obtained in the Qualifying examination:


Qualifying % of Marks
Total Marks Marks Obtained
Examination Obtained

Experience:
Experience Minimum 4
years of experience in
the field of Technical
Support

ADDRESS PARTICULARS:
Name :
Father/ Husband Name :
House No. :
Street :
Village / Town :
District :
Pin :
Contact Number :
Check List:
1. S.S.C or Equivalent examination
2. Qualifying Examination Pass Certificate
3. Marks memos of all the years (qualifying examination)
4. Registration certificates of respective councils.(up to date/Renewed)
5. Latest Caste certificate issued by the Tahsildar/MRO concerned
Study certificate for the years from 1st class to 10th Class and in case of Private study
6.
residence certificate from the Tahsildar /MRO concerned
7. Relevant Certificates in respect of candidates claiming Ex Service man Quota, if any.

8. 4 years Experience certificate


9. (1) photograph duly pasted on the application form

10 Any other certificates

Note: All enclosed documents shall be self-attested by candidate.

DECLARATION
I, Sri /Smt / Kum …………….…………………………………………… S/o / D/o / W/o
………………………………………….. Certify that above particulars furnished by me are
correct to the best of my knowledge. I also agree that in the event of any of the particulars
furnished in my application being found to be incorrect or false at a later date my
candidature will be cancelled summarily.

Name and Signature


of the candidate

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