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Rashtriya Ayush Mission,Madhya Pradesh
Fields marked with * are mandatory
Instructions and Post Details
One set of online submitted application form, fee receipt and self-attested supporting documents should reach Institute at a time of document verification.
आवेदित पदवर्ग का नाम,जिस हेतु आवेदन कर रहे है (Post Applied) *
व्यक्तिगत विवरण (Personal Details)
आवेदक/आवेदिका का प्रथम नाम
(Applicant's First Name)*
आवेदक/आवेदिका का मध्य नाम
(Applicant's Middle Name)
आवेदक/आवेदिका का अंतिम नाम
(Applicant's Last Name)*
पिता/पति का नाम (Father's / Husband's Name)*
माता का नाम (Mother's Name) *
क्याon म.प्र. के मूल निवासी है? (M.P. Domicile)*
जाति वर्ग/श्रेणी (Category)*
(OBC creamy layer are supposed to apply as UR)
लिंग (Gender)*
वैवाहिक स्थिति (Marital Status )* क्या आप इनमे में से एक हैं?? (Are You ?)*

नागरिकता (Nationality) *
जन्म तिथि (DD/MM/YYYY)(DOB) * (In DD/MM/YYYY) Age as on 01/07/2020    - -(yy-mm-dd)
Are you from Economically Weaker Sections (EWS)*
Exservice man*
शैक्षणिक योग्यता विवरण(Educational Qualification Details)
Essential Qualification*
Educational Detail
Please convert grades(CGPA) to Percentage marks and fill
Qualified Exam Name Subject / Specialization Name of Board/ University Passing Year(YYYY) Total Marks Obtained Marks Percentage(00.00)

अनुभव विवरण (Experience Details 1)Only Post Qualification Experience is Accepted
Experience Details1*
Experience Detail 1 *
Name of Organization Designation Name From date(DD/MM/YYYY) To date(DD/MM/YYYY) Total Duration Pay Scale / Monthly Pay Experience Type Experience Field Reason of Leaving
    YY 0 MM 0
Total work Experience in Years-Month :- - -
संचार पता (Communication Address)
पता (Address)*
राज्य (State)* शहर (City)* पिन नंबर (Pin No.)*
ईमेल आईडी (Email id)* मोबाइल नम्बर (Mobile No.)*   फोन नंबर (Phone No.)  
वैकल्पिक ईमेल आईडी (Alternative Email id)
स्थायी पता (संचार पते के समान) (Permanent Address(Same as Communication Address))
पता (Address)*
राज्य (State)* शहर (City)* पिन नंबर (Pin No.)*
मोबाइल नम्बर (Mobile No.)* फोन नंबर (Phone No.)
संलग्नक (Attachment)*
हस्ताक्षर के साथ फोटो संलग्न करें (Attach Photo with Signature)*
Click here for photo sign format