Regional Institute of Medical Sciences
Imphal, Manipur

Online Application for Appointment of Assistant Professor, Health Education & Family Welfare (Non-Medical)

This form is to be filled up after scanning of all the required documents mentioned in the previous instruction page. .
( This site works best with Google Chrome )

Applicant Category:        
Category:   Are you Government Employee?
Personal details:        
Name of the Candidate: (Name should be exactly what you entered in Class X certificate)
Gender:   Date of  birth
Father/Mother/Husband Name:      
Mobile No:   Email
Nationality:      
Address for correspondence :        
Address:  
State:   Pin Code:
Permanent Address:
Address:      
State:   Pin Code:
         
Uploads:        
*
   
* Class X Passing Certificate:
(Max file size:400kb)		 * Class X Marksheet:
(Max file size:400kb)
   
* Class XII Pass Certificate:
(Max file size:400kb)		 * Class XII Marksheet:
(Max file size:400kb)
   
* Graduation Passing Certificate:
(Max file size:400kb)		 * Graduation Marksheet:
(Max file size:400kb)
   
* Passing Certificate of MA in Socialogy/ Social Work/ Social Anthropology /Psychology/ Nursing Education:
(Max file size:400kb)		 * Marksheet of MA in Socialogy/ Social Work/ Social Anthropology /Psychology/ Nursing Education :
(Max file size:400kb)
   
* Passing Certificate of Master's Degree/ Diploma (2years)/ PG Diploma in Health Education and Family Welfare:
(Max file size:400kb)		 * Marksheet of Master's Degree/ Diploma (2years)/ PG Diploma in Health Education and Family Welfare:
(Max file size:400kb)
   
In case of additional qualification, upload Certificate & Marksheets: (optional)
(Max file size:400kb)		  
   
* Certificate of 3 years Teaching and research experience in the field of Health Education/ Family Welfare/ Community Development:
(Max file size:400kb)		  
   
* Passport size Photo:
(Max file size:400kb) Photo must be Clear and properly visible		 * Signature:
(Max file size:400kb) Signature must be Clear and properly visible
Declaration:    
I declare that all the above given information is true to the best of my knowledge. Note: To reduce pdf file size, click here