Is the site’s design aesthetically appealing?
Yes
No
Is it easy to navigate the website?
Yes
No
Is the website visible properly on a mobile device or a tablet?
Yes
No
Are the color choices visually accessible? (For example high enough in contrast to assist the colorblind and visually impaired in reading the site appropriately)
Yes
No
Are the fonts easy to read on various screen resolutions?
Yes
No
Did you find that information valuable?
Yes
No
Your Email
*
Suggestions if any
Privacy & Terms
PREV
NEXT
Reset
SUBMIT
A-
A
A+
Home
About Us
Cancer Information
- What is Cancer?
- Types of Cancer
Patient Services
- Out Patient Procedure
- In Patient Procedure
- - During Your Stay
- - Discharge Procedure
- International Patients
- Services Directory
- Schedule of Charges
- Patient Handbook
- Patient Feedback Form
Departments
- All Departments
- Ancillary Services
Disease Management Group
Education and Research
- Digital Library
- Education
- Research
- - TRAC
- - Clinical Research Secretariat
- - D.A.E Clinical Trial Centre
- - Institutional Ethics Committees
- - DSM Sub Committee
Events
HOW TO APPLY
NEW APPLICATION
UPDATE APPLICATION
SUBMIT AND PRINT APPLICATION
SIGN OUT
SCREEN 1
Note: Fields marked with asterisk
*
are compulsory.
Ref. Number :
( Note down System Generated No. which will be seen after saving this screen )
*
Advt. No. :
Select Adv No.
*
Post Applied for :
Select Post Applied for
Select Post Applied For.
*
Department/Unit :
Select Department/Unit
Select Department/Unit.
*
Organisation/ Unit :
Select Unit Preferance
TMH
ACTREC
SANGRUR
MULLANPUR
VIZAG
MUZAFFARPUR
VARANASI
GUWAHATI
Select Organisation/ Unit.
Personal Information
*
Title :
Select Title
Mr.
Ms.
Mrs.
Miss.
Dr.
*
First Name :
Middle Name :
*
Last Name :
*
Date Of Birth :
*
Gender :
Select Gender
Male
Female
*
Marital Status :
Select Marital Status
Single
Married
Widow
Divorcee
*
Parent's /Spouse Name :
*
You Belong To :
Open
SC
ST
OBC
NT
SBC
Phy hand
If YES,... Please provide Necessary Certificate for proof
*
Present Address :
*
Pin Code :
Telephone No :
*
Permanent Address :
*
Pin Code :
Mobile No :
*
Email :
*
Nationality :
*
Permanent act.no(PAN):
REGISTRATION DETAILS :
Registration Category :
Select Category
Other
Select OTHER, if other state Registration No.
If OTHER Type Registration Category(e.g KMC,PMC etc)
STATE & Registration Number(IF OTHER STATE REG.NO) :
State
Reg Number
Registration Number for MCI :
Registration Number for DMC :
Registration Number for MMC :
Please click
SAVE
and then go for
NEXT
Screen
<strong>JavaScript is currently disabled.</strong>Please enable it for a better experience of <a href="http://2glux.com/projects/jumi">Jumi</a>.
-active1.png "Website Feedback"){kind=small}
.png "Quick Links"){kind=small}
