NIPER - Raebareli: Candidate Application-Non Teaching

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NIPER - Raebareli

Candidate Application-Non Teaching

Form No : 6337 Application Name : POONAM CHAUHAN

Advertisement No : NIPER-R/Recruit/01/2019-20

Post Applied For : Secretary to Registrar

Name : POONAM CHAUHAN

Mother’s Name : URMILA CHAUHAN

Father’s Name : VIRENDRA CHAUHAN

Age as on 30-09-2020 : 25 year 5 month 15 d

Email : tanvichaulko145@gmail.com

Gender : Female

Marital status : Single

DOB : 15-04-1995

Caste Category : OBC


Attachment

Telephone Personal : 8318196262


Nationality : INDIAN

Physically Challenged : (0 %)

Permanent Address : C-23, RAM VIHAR COLONY, NEAR PANDIT


PUWVA, SEC- 14, INDIRA NAGAR, LUCKNOW
City: LUCKNOW
State: UTTAR PRADESH
Pincode: 226016

Correspondence Address : C-23, RAM VIHAR COLONY, NEAR PANDIT


PURWA, SEC- 14, INDIRA NAGAR, LUCKNOW

Languages Known

HINDI, ENGLISH, BHOJPURI

Educational Qualifications. Please attach copies of Degree Certificate/Marks Sheet (Masters,


Bachelors, Intermediate, High School)]

Degree/Certificate : Masters

Subject/Branch : HOME SCIENCE (FOOD AND NUTRITION)

University/ Board : LUCKNOW UNIVERSITY

Year of Passing : 2017

Percentage : 67

Class/Division : FIRST

Attachment
Attachment :
Educational Qualifications. Please attach copies of Degree Certificate/Marks Sheet
(Masters, Bachelors, Intermediate, High School)]

Degree/Certificate : Bachelors

Subject/Branch : HOME SCIENCE ,SOCIOLOGY

University/ Board : LUCKNOW UNIVERSITY

Year of Passing : 2015

Percentage : 67.33

Class/Division : FIRST

Attachment
Attachment :

Educational Qualifications. Please attach copies of Degree Certificate/Marks Sheet


(Masters, Bachelors, Intermediate, High School)]

Degree/Certificate : Intermediate

Subject/Branch : GENERDI,ENGLISH ,HOME SCIENCAL


HINE,ECONOMICS,SOCIOLOGY

University/ Board : BOARD OF HIGH SCHOOL AND


INTERMEDIATE EDUCATION UTTAR
PRDESH

Year of Passing : 2012

Percentage : 73.6

Class/Division : FIRST

Attachment
Attachment :
Educational Qualifications. Please attach copies of Degree Certificate/Marks Sheet
(Masters, Bachelors, Intermediate, High School)]

Degree/Certificate : High School

Subject/Branch : HINDI, ENGLISH, MATH, SCIENCE,


SOCIAL SCIENCE, DRAWING

University/ Board : BOARD OF HIGH SCHOOL AND


INTERMEDIATE EDUCATION UTTAR
PRDESH

Year of Passing : 2010

Percentage : 49.66

Class/Division : SECOND

Attachment
Attachment :

Present Employment

Organization Name : NA

Nature of Organisation :

Enter Details : NA

Designation : NA

Nature of Appointment :

Nature of Duty : NA

Date of Joining : 01-01-1970

Pay : NA

Attach NOC : Attachment

Experience : 50 years,8 months,17 days


Work experience

Name of Organization : NA

Nature of the Organization :

Enter Details : NA

Position Held : NA

Nature of Appointment :

Nature of Duty : NA

Date of Joining : NA

Date of Leaving : NA

Pay : NA

Attachment
Attach Experience/Relieving Letter :

Experience : No experience

Total Experience : 50 years,9 months,3 days

Professional Training Received

Year :

Name of Training : NA

Duration : NA

Organization where training was : NA


provided
Statement and objectives

Please indicate, why you wish to join NIPER-Raebareli ?

I want to strengthen the medical field by the joining this institute and contributing in pharmaceutical and research.

A Short paragraph about professional Experience

NA

ANY OTHER RELAVENT INFORMATION YOU MAY LIKE TO FURNISH

NA

Are you convicted? : Any Medical :


Condition?
no no

Attachment
Recent Passport size Photograph *

Signature*

Date 18-09-2020

Place LUCKNOW

Time Required to Join if Post is Offered One Month

Attachment
Attach ID Proof

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