Online Registration Form

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(For the posts of Field Medical Officer / Visiting Doctor (Pathologist) on contract basis (Advt 01/2020/DOC/WOU-Mumbai)

Email *

Full Name (In CAPITAL letters, as per SSC Certificate) *

Date of Birth (DD/MM/YYYY) *

Candidates applying for the post of Field Medical Officer(Offshore) should not be more than 60 years as on 21.12.2021. Female Candidates applying for the post of Field Medical Officer(Offshore) should not be more than 45 years.

YYYY

Select the Essential Qualification you possess:- *

Equivalent course of MBBS from foreign countries is not considered eligible

M.B.B.S

MD (Pathology)

MD (Pathology & Microbiology)

MBBS with Post Graduate Diploma in Pathology & Bacteriology

MBBS with Post Graduate Diploma in Clinical Pathology

Applying for the post of *

Note: Choose the post that you want to apply. You can apply for ONE post only. Candidate may attend interview only once for any one post mentioned below. Kindly ensure you have essential qualification required for the post. Refer the advertisement for essential qualification and details of engagement.

Field Medical Officer-Onshore Duty (14 days on/off) Posting in Uran

Field Medical Officer-Offshore Duty (14 days on/off) Posting at various offshore installations

Visiting Doctor (Pathologist)- Onshore Posting at Panvel

Valid Registration Number *

Registration Number Valid upto (DD/MM/YYYY) *

YYYY

Higher Qualification, if any

Category *

In case candidate belongs to reserved category and applies to the post in which no post is earmarked for respective reserved category shall be treated as general category for the purpose of selection to the posts.

General

OBC

Economically Weaker Sections (EWS)

Declaration *

I hereby declare that I have read the advertisement thoroughly and I am eligible for the above applied post. I also declare that my particulars furnished above are correct to the best of my knowledge and belief. If any information is found to be incorrect/ suppressed, my candidature shall be rejected at any stage of the selection process or thereafter.

Required

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