ALL INDIA INSTITUTE OF MEDICAL SCIENCES, JODHPUR
Recruitment Application for 'Faculty Recruitment (Super Specialty)'
Part I (Fill Application)
Registration Details
Department This field will be filled automatically.
Post Applied This field will be filled automatically.
Registration Number This field will be filled automatically.
Personal Detail
Applicant's Name This field will be filled automatically.
Father's Name Fill Father's Name with no prefix like "Mr." Mention First Name followed by Middle Name and then Last Name.
Mother's Name Fill Mother's Name with no prefix like "Ms." Mention First Name followed by Middle Name and then Last Name.
Gender Select your gender by clicking on one of the appropriate available either 'Male' or 'Female'.
Date of Birth Select your D.O.B from the select boxes day, month and year.
Nationality Fill your Nationality like 'INDIAN'.
Marital Status Select your marital status from select box.
Spouse Name Fill your Spouse Name with no prefix like Mr. / Ms. Mention First Name followed by Middle Name and then Last Name. (This section is only enable when you select your marital status as 'Married' and 'Widow')
Category Select your Category:
UR : Un-Reserved
OBC : Other Backward Class
SC : Schedule Caste
ST : Schedule Tribe
Orthophysically Handicapped Select your option by clicking on one of the appropriate available either 'Yes' or 'No'.
Types of Disability To be filled only if you have selected YES in above option. Mention type of Handicap as approved by Govt. of India.
Percentage of Disability To be filled only if you have selected YES in above option. Mention the percentage of Disability with no percentage sign.
Communication Detail
Address Mention House or Flat No., name of street and name of the colony.
City Mention the name of the city.
District Mention the name of the district.
State Mention the name of the state.
Country Mention the name of the country.
Pincode Mention the pincode of the postal area.
Same As Communication Adderess Check this box if your permanent address is same as your communication address, otherwise fill the permanent address as per above guidelines.
Contact Number Fill your mobile number. For Indian numbers, do not add any prefix as o, +91 etc. For international numbers please write complete numbers with country code.
Alternate Contact Number Fill your alternate number.
E-Mail Id This field will be filled automatically.
Education Detail
Level This field will be filled automatically.
Board / University Fill the complete name of the board e.g. 'Central Board of Secondary Education'.
Passing Year Mention Year of passing in YYYY format.
Marks (% or Grade or NA) Mention your percentage of marks or grade. If none, write NA.
Extra Attempts Mention number of extra attempts. If none, write 0(zero).
Graduation / Post Graduation Detail
Level This field will be filled automatically.
Degree Choose name of degree from the dropdown menu.
Subject & Institute / University Fill the name of Subject followed by the name of Institute / University. MBBS passouts can write , followed by name of Institute e.g. . Example for PG degree: .
Passing Year Mention Year of passing in YYYY format.
Marks (% or Grade or NA) Mention your percentage of marks or grade. If none, write NA.
Extra Attempts Mention number of extra attempts. If none, write 0(zero).
Medical Council Registration Detail
Is your degree recognized by MCI Select your option by clicking on one of the appropriate available either 'Yes' or 'No'.
Medical Council Registration Number Write your registration number as mentioned in your council certificate.
Medical Council Registration State Write MCI if registered only with MCI otherwise your registration state.
Previous Senior Residency Details (Present to Past)
You can click on Add Row to insert a new row. If you want to delete an extra row click on Delete Row to delete the last row.
If you have no SR experience, please write 'NA' in column 2 to 5 and '0' in Exp.(Month) column.
Organization Name & city Mention the name of organization including City & State e.g. 'ABC Organization, ABC City, ABC Rajasthan'.
Designation Mention your Designation.
Date(From) Mention Date of Joining. Date Format (DD/MM/YYYY).
Date(To) Mention Date of Leaving. If you are still working at the same place, enter the date of filling the form. Date Format (DD/MM/YYYY).
Exp.(Month) Mention Number of Work Experience in months.
Total Expercience Mention total Number of Work Experience in months.
Senior Residency - Nature Of work
Organization Name This field will be filled automatically. The Organization name will be automatically filled in the order in which you have mentioned in the above section.
Nature Of work Mention the nature of work done by you in the corresponding Organization. If you have no SR experience, please write 'NA'.
Publication Detail
No. of Indexed Publications Mention no. of Indexed Publications.
No. of Non-Indexed Publications Mention no. of Non-Indexed Publications.
No. of Total Publications Automatic Calculated.
Publication List in Vancouver style Type your list of publications in Vancouver Style begiining from most recent publication. The list should be within 300 words. You should bring copy of your top 5 publications at the time of interview.
Upload Detail
Upload Photograph Upload your recent passport size photograph in jpeg / jpg format not exceeding 50 Kb.
Upload Signature Upload your Signature in jpeg / jpg format not exceeding 20 Kb.
Application Declaration and Final Submission
By clicking on the checkbox you here by declare that the entries made in this form as above are true and correct to the best of my knowledge and belief. After which you will be displayed the "Final Submission" button, you can update your Application Form before clicking on the "Final Submission" button. You can not update your Application Form after the final submission.
In order to complete your Application Form you have to submit the application fee.
Part II (Upload Document)
Upload Document
Please upload your documents in Part II. Before uploading, scan and keep ready your documents in form of pdf files. The size of eaxh file should be less than 300Kb. if its more than that use freely available softwares to reduce the size before uploading. The documents required are:
10th Marksheet/ Certificate containing date of birth
12th Marksheet
Graduation Degree ( BSc / MBBS)
Graduation Marksheets : A single PDF of marksheets of each year. Single PDF can be generated from multiple pages while scanning or if already seperate pages are there, using freely available pdf merge softwares.
Post Graduation Degree ( MSc / MD / MS/ DNB )
Post Graduation Marksheets : A single PDF of marksheets of each year. Single PDF can be generated from multiple pages while scanning or if already seperate pages are there, using freely available pdf merge softwares.
Under Graduate MCI Certificate
Post Graduate MCI Certificate
Super Specilization Degree
Category Certificate (OBC / SC / ST)
Physically Handicapped (OPH) Certificate
No Obection Certificate (NOC)
Part III (Payment)
Online Payment Detail
You can pay only using online payment gateway. The gateway can accept Debit Cards / Credit Card or Net Banking.
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