Recruitment Form Application For the Post of *Select PostScientist-B (Medical)Scientist-B (Non-Medcal)Assistant ProfessorDirector for ACI, BathindaUpload Image *Choose FileNo file chosenDelete uploaded fileUpload Only 30 Kb fileUpload Signature *Choose FileNo file chosenDelete uploaded fileUpload Only 30 Kb fileSpecialty For Assistant Professor *Specialty For Assistant ProfessorRadio-diagnosisSurgical OncologyMedical OncologyNephrologyT.B. & ChestPathologyNuclear MedicineBlood BankPsychiatryRadiotherapyBiochemistryENTGen SurgeryOrthopaedicsOBGPhysical Medicine & RehablitationGen MedicineUrologyNeuro-surgeryEmergency MedicineQualification For Assistant Professor *Qualification For Assistant ProfessorM.D.(Radio-Diagnosis)M.D.(Radiology)M.S.(Radiology)M.Ch.(Surgical Oncology/Head and Neck Surgery/Gynaecological Oncology)M.S.(Surgery)M.S.(E.N.T.)M.S.(Orthopaedics)M.D.(Obst. & Gynae.)Specialty for Professor *Specialty for ProfessorBiochemistryNeurologyUrologyPaediatric SurgeryCardiologyNeuro-surgeryNephrologyEmergency MedicineQualification For Professor *Qualification For ProfessorM.D. (Biochemistry)D.M.(Neurology)M.Ch.(Urology)M.Ch.(Paediatric Surgery)D.M.(Cardiology)M.Ch.(Neuro-Surgery)D.M.(Nephrology)Emergency MedicineSpecialty For Associate Professor *Specialty For Associate ProfessorAnatomyPathologyT.B. & ChestOphthalmologyRadio-diagnosisRadio-diagnosisPsychiatryCommunity MedicineUrologyPlastic SurgeryNephrologyEmergency MedicineQualification For Associate ProfessorQualification For Associate ProfessorM.S. (Anatomy)M.D.(Pathology)M.D.(Tuberculosis)M.D.(TB & Respiratory Diseases)M.D.(Pulmonary Medicine)M.D.(TB & Chest Diseases)M.S. (Ophthalmology)M.D.(Ophthalmology)M.D.(Radio-Diagnosis)M.D.(Radiology)M.S.(Radiology)M.D.(Psychiatry)M.D.(Social & Preventive Medicine)MD (Community Medicine)MD (Preventive and Social Medicine)M.Ch.(Urology)M.Ch.(Plastic & Reconstructive Surgery)M.Ch. (Plastic Surgery)D.M.(Nephrology)Emergency MedicineSelect Specialty For DirectorSpecialty For DirectorM.D. (Radio-therapy)Qualification For DirectorQualification For DirectorM.D. (Radio-therapy)Name Of Candiate *Father Name *Gender *MaleFemaleOtherDate of Birth *Email Address *Phone *Street Address *City *State/Province *ZIP / Postal Code *Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweNationality *Religion *Marital Status *Marital StatusSingleMarriedExperience *No. of papers published : *No. of papers published : *SubmitSave as Draft