Registration

Post	Nursing Officer
Category	Select Category Economically Weaker SectionsGeneralOther Backward ClassesScheduled Caste
Candidate Name
Father's/Husband's Name	Select Relation Father's Name Husband's Name
Mother's Name
Date of Birth (DD-MM-YYYY)
Gender	Select Gender Female Male Transgender
Nationality	Select Nationality Citizen of India Person of Indian Origin Subject of Bhutan Subject of Nepal Tibetan Refugee
Marital Status	Select Marital Status Deserted Woman Judicially Separated Woman (not Remarried) Married Unmarried Widowed
Persons with Disability?	Select Persons with Disability Status No Orthopedically Disabled (OL) Visually Disabled Cerebral Palsy Leprosy Cured Dwarfism Acid Attack Victims Specific Learning Disability Multiple Disabilities
Percentage of Persons with Disability
Scribe required in case of PwBD?	No Yes
Ex-Servicemen?	Select Ex-Servicemen Status No ESM (Self)
If ESM(Self) - Period of Service in Armed Forces in years	Years
Visible identification mark on the body
Are you a Regular Government Employee?	Select No Yes
E-Mail ID
Confirm E-Mail ID
Mobile Number
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