Registration form for the post of Senior Resident
Dr. Baba Saheb Ambedkar Hospital
Government of NCT of Delhi
Sector VI, Rohini, Delhi-85

Email *
Category *
DEPARTMENT *
Sub Category *
Name of candidate *
Do not use Dr./Mr./Ms./Smt./Sh. salutation
Father's Name *
Do not use Dr./Mr./Ms./Smt./Sh. salutation
Gender *
Date of Birth *
MM
/
DD
/
YYYY
DMC Number updated with Degree / Diploma/ DNB/ DGO *
Mobile Number *
Aadhaar No /Voter Id No /Passport Number *
Address (As on document ID submitted above- Aadhar No/ Voter Id card/ Passport)
Qualification (in concerned speciality) *
No of Attempt *
Year of Passing *
College Name *
University Name *
Additional qualification/ super specialty , if any
Details of work experience / Senior residency (if any)
(Hiding of facts is omission)
Number of publications in indexed journal
Suffering from any disease
Additional information, if any
Declaration *
I solemnly declare that the above provided information by me are correct to the best of my knowledge and nothing has been concealed thereof. If any information given above is found false/incorrect/omission of facts, my candidature/service may be terminated and action as per rules/law may be initiated against me.
Required
A copy of your responses will be emailed to the address you provided.
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