Application form
Non-Teaching Staff
Advertisement No & Date …………………………………………………..
Application for the post of ………………………………………………….
1.Name(IN BLOCK LETTERS) / (Surname) (First name) (Middle initial)
2. Father’s Name
3. Date of Birth
4. Martial Status / Married Unmarried
5. Nationality
6. Category / Caste / SC /ST/ OBC/ Others:
7. Languages Known / Language
Name / Yes / No
English
Kannada
Hindi
Telugu
Tamil
8. Email address
9.Contact Numbers / Mobile:
Land Line:
10. Address / Present:
Permanent
11. Educational Qualification
Sl.No / Qualification / Discipline/
Specialization / University/
College/Board / Year of passing / Percentage
12. / Experience
13. / Knowledge of Computer /
Yes
/
No
14. Awards and Honours
15. References(with telephone
Numbers/email)
16. Any other
Information
DECLARATION
I hereby declare that all the information furnished above is true to the best of my knowledge.
(Signature of the Candidate)
Qualification
Non-Teaching Faculty
The applicant should download the application form from the website.
Paramedical / Nonteaching
1. Deputy /Assistant Nursing Superintendent
Qualification G.N.M / B.sc Nursing with 15years experience.
2. Staff Nurse
Qualification G.N.M / B.sc Nursing .
3. A.N.M
Qualification - certificate course in axillary nurse and midwifery.
4. OT/ICU/NICU Nurses
Certified courses / experience after G.N.M /B.sc in the above subject.
5. Lab Technician
Diploma/B.sc Technicianology
6. X-ray Technician
Diploma/B.sc Technicianology.
7. OT Technician
Diploma/B.sc Technicianology.
8. Audio metric Technician
Diploma in Audio metric Technicianology.
9. Refractionist / Ophthalmic Assistant
Diploma in Ophthalmic Technology & certificate in ophthalmic technology from any recognized institute.
10. Blood Bank
Diploma /B.sc in Lab Technology with 1 year work experience in Blood bank.
11. Speech Therapist
Qualification: B.sc / M.sc in speech therapy. Preference will be given those who worked in the college hospital.
12. Computer Operator
B.sc in Computer Science.
13. Medical Social Worker (MSW)
Master degree in Medical Social Work.
14. Psychiatry Social Worker
Master degree in Psychiatry.
15. Librarian
Degree in Library science.
16. Medical Record Department (MRD)
Diploma /Degree in Medical Record Technology.
17. Health educator
B.sc in Health Educator.
18. Attender
SSLC with work experience as attender in Hospital / Nursing Home.