AIIMS

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http://recruitgpabc.aiimsexams.org/PrintForm.aspx

All India Institute of Medical Sciences

Ansari Nagar, New Delhi - 110608

Recruitment Exam - 2015

Registration Slip - Recruitment to the Post of Group A ( Non Faculty), B & C, AIIMS, New Delhi - 2015
1) Application No.:

5421049074

2) Application Date

12 Jun 2015

3) Applied Post

Sister Grade-II

20) Correspondence Address NEAR OF SHARDA AL

NIKETAN V POST DEGANA
JN DIST NAGAUR, DEGANA
JN

4) Applicant's Name

MUKESH SONI

20.a) State/Country

Rajasthan

5) Date of Birth

11 Mar 1992

20.b) Pin Code

341503

6) Father's Name

MAHAVEER PRASAD SONI

21) Permanent Address

7) Mother's Name

SHOBHA DEVI

8) Gender

Male

NEAR OF SHARDA AL
NIKETAN V POST DEGANA
JN DIST NAGAUR, DEGANA
JN

9) Category:

OBC (Non Creamy Layer)

21.a) State/Country

Rajasthan

10) Nationality:

Indian

21.b) Pin Code

341503

11)State of Domicile:

Rajasthan

22) Phone No.

23) Mobile No.

9413929029

24) Id Proof.

Aadhaar Card

25) Id Proof Number

841937104823

26) Fax No.

27) Email Id

soni.pawan1988@gmail.com

12)Physically Handicapped: No
12.a) Physically Handicapped
(Option) :
12.b)Physically Handicapped
( %)
13) Are you a Government
No
Employee ?
13. a) Type of Job Status:
13.b) Date of Appointment:

NA

13.c) Present Position held:

28) Payment Details

28.a) Mode of Payment

Through Debit/Credit Card

No

28.b) Payment Type

Registration

14.a) Joining Date:

NA

28.c) Payment Date

12 Jun 2015

14.b) Ending Date:

NA

28.d) Branch Code

14.) Are you a AIIMS

Employee ?

14.c) Post Name:

29) Journal Number

14.d) Department Name:

30) Internship Details

14.e) Job Type AIIMS:

30.a) InternshipStatus

NA

15.) Are you an

Ex-Serviceman ?

No

30.b) Start Date

NA

30.c) End Date

NA

15.a) Service In:

15.b) Start Date:

NA

30.d) Days

15.c) End Date:

NA

31. Technical competence to

handle sophisticated
instruments detail

NA

15.d) Service Duration:

16)University Name:

RAJASTHAN UNIVERSITY OF HEALTH

SCIENCE

17)State Name:

Rajasthan

18)Qualifying Exam - |:

B.Sc. in Nursing

19)Qualifying Exam - ||:

32.) Academic/Technical Qualification

12-06-2015 16:06

AIIMS

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http://recruitgpabc.aiimsexams.org/PrintForm.aspx

S.
Examination
No. Passed

Degree
Name
BSC
B.Sc. in Nursing
NURSING

College/Institute Name

SIDDHARTH INSTITUTE OF
ALL SUBJECTS
NURSING

Subject/Specialization

Enrollment
Date

Passing
Date
12 May
16 Sep 2010
2015

Aggregate % of marks
secured
74.0000

33.) Registration Details

Registration State

Registration Year

Registration No.

Registration Expiry

Rajasthan

2010

RN86554,RM77338

2019

37.) Photo of Candidate

38.) Signature of
Candidate

UNDERTAKING/DECLARATION:I have read and understand the Advertisement & detailed information on website and satisfied the
eligibility in all respect for the post(s) before 16-06-2015.I hereby declare that the information furnished by me in the Application Form is
correct and nothing has been concealed. In case any information furnished by me is found to be false, my candidature/registration
/admission/service may be cancelled/terminated. I have not concealed any information. I realise that if any information furnished herein is
found to be incorrect or untrue; I shall be liable to civil/criminal prosecution and also forgo my claim to the admission/appointment in the
Institute.

12-06-2015 16:06