ASIYA

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

8/13/22, 10:55 AM Online Apply

OFFICE OF THE MISSION DIRECTOR

NATIONAL HEALTH MISSION ASSAM

Application Number: 1203748

Registration Number: 120374

Post Applied For: ANM

Applicant Name: ASIYA BEGUM

Gender: Female

DOB: 16/06/1996

Mobile No: 6001417273

Email Id: [email protected]

Religion: Islam

Caste: General

PWD: N

Parmanent Address

CO: TAJUL AHMED

House No:

Vill/Town: AMGURI GAON, DUBORNI ALI

Post Office: SIVASAGAR

Police Station: SIVASAGAR

District: Sivasagar

PIN: 785640

State: ASSAM

Correspondance Address

CO: TAJUL AHMED

House No:

Vill/Town: AMGURI GAON, DUBORNI ALI

Post Office: SIVASAGAR

Police Station: SIVASAGAR

District: Sivasagar

PIN: 785640

117.252.250.165/Recruit-NHM/index.php?page=dmlld19hcHBsaWNhdGlvbg,, 1/3
8/13/22, 10:55 AM Online Apply

State: ASSAM

Essential Qualification

Qualification (As per advertisement): ANM nursing course passed from any nursing school / recognized
institution and registered with “Assam Nurses’ Midwives’ and Health

Name of The Course: ANM

Course Duration in year: 2

Course Start Date: 01-11-2018

Course End Date: 10-11-2020

Institute Name: DISPUR NURSING INSTITUTE

University Name: ASSAM NURSES ,(MIDWIVES)' & HEALTH VISITORS COUNCIL,ASSAM

Mode of Course: Regular

Subjects: MIDWIFERY(008),HEALTH CENTER MANAGEMENT(009),PRACTICAL -III


(MIDWIFERY)(010),PRACTICAL -IV (PHCM&HCM))))

Year of Passing: 2021

% of Marks obtained: 70.85

Division/ Class /Grade: First

Educational Qualification(s)

Exam Passed: HS

Name of Degree: 12th

Subject: ASSAMESE,ENGLISH,EDUCATION,POLITICAL
SCIENCE,GEOGRAPHY,MATHEMATICS

Stream: Arts

Institute Name: GELAKEY COLLEGE

University Name: ASSAM HIGHER SECONDFARY EDUCATION COUNCIL

Course Duration in year: 2

Year of passing: 2014

Total Marks: 500

Mark Obtained: 280

% of Marks: 56

Division/ Class /Grade: Second

Mode of Course: Regular

Work Experience(s)

Name of Organization: SARMA NURSING HOME

Designation: ANM SISTER

Nature of duty: PATIENT CARE

From Date: 2021-01-01

To Date: 2022-06-30

Year of Service (YY/MM): 1 years 5 months 29 days

Uploaded Documents

1 Essential Qualification Pass Certificate Essential Qualification Pass Certificate

117.252.250.165/Recruit-NHM/index.php?page=dmlld19hcHBsaWNhdGlvbg,, 2/3
8/13/22, 10:55 AM Online Apply

2 HS HS

3 HSLC HSLC

4 Photo Photo

5 Registration Certificate with Assam Nurse Registration Certificate with Assam Nurse Midwives and Health Visitors
Midwives and Health Visitors Council Council

6 Signature Signature

I hereby declare that the information furnished above is true, complete


and correct to the best of my knowledge and belief. I understand that
in the event of my information being found false or incorrect at any stage, my candidature / appointment shall be liable to cancellation /
termination without notice or any compensation in lieu thereof.

117.252.250.165/Recruit-NHM/index.php?page=dmlld19hcHBsaWNhdGlvbg,, 3/3

You might also like