Application Form for Post - MEDICAL LAB TECHNICIAN

Name *

Father Name *

Mother Name *

Date Of Birth *

Gender *

Category *

Religion *

House No

Road

Landmark

Country *

State *

City *

Pincode *

Same as Permanent Address

House No

Road

Landmark

Country *

State *

City *

Pincode *

Email *

Mobile *

Aadhar *

Account No *

IFSC Code *

Account Holder Name *

Bank Branch *

Class	School	Board	%	Passing Year

Photo (JPG) *

Signature (JPG) *

Aadhar Upload (JPG/PDF)

Medical Diploma/Degree (JPG/PDF) *

Character Certificate (JPG/PDF)

Fitness Certificate (JPG/PDF)