Online Application Form

Project Officer (IT), Electronic Vaccine Intelligence Network (eVIN) Project

 

1. Personal Details:

Applicant's Name:
Father/Husband's Name: Date of Birth: (DD/MM/YY)
Gender: Mobile No.:
Email ID: Alternate Contact No.:

2. Address:

Correspondence/ Current Address with Pin Code: Permanent Address with Pin Code

3. Qualification Detials:

* Name of the Degree/ Diploma
Specialization & Principal Subjects
Name of University/ Institute
Passing
Month & Year
Marks (in %)

 

[+] Additional Qualification: [Please click on (+) sign if you have any other Degree/ Diploma]

 

4. Work Experience: [Please start with current/ most recent experience. If you have worked in more than one area/ post within the same organization, please enter details of the same separately]:

Name of Organisation Designation/ Title alongwith Duration [e.g. IT Officer, June-2017 to June-2018] Key Responsibilities
[Mention atleast 3 key responsibilities]
Experience
(in Months)

[Maximum Characters allowed: 300]
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[Maximum Characters allowed: 300]
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[Maximum Characters allowed: 300]
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[+] Add More Work Experience [Please click on (+) for giving more work experience details]

[+] Add More Work Experience [Please click on (+) for giving more work experience details]

5. Details of Relevant Experience:

Name of Organisation
(Including Years)
Exposure Area Details of Experience Possessed Experience
(in Months)
Professional work experience in managing information technology and troubleshooting Java and android based applications
[Maximum Characters allowed: 300]
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Experience of working in the State Government or other international development organization.
[Maximum Characters allowed: 300]
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Experience in Health Sector / Routine Immunization Programme.
[Maximum Characters allowed: 300]
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6. Details of Present Compensation (In Rs.):

a. Monthly Salary b. Monthly Allowances: (If any)

7. Computer Skill:

[Note: Applicants are likely to be tested in Excel and MS Office, to confirm their suitability]

Application
(1) Proficiency in use of MS-Excel:
 
(2) Proficiency in use of MS-Office  

8. Language Proficiency:

Language
Oral Proficiency Written Prociency
Excellent Satisfactory Excellent Satisfactory
English
Hindi
Other (Please specify)
   

9. Preference:

Please select your state preference

10. References: (Please provide contact details of three references who have supervised you at work:)

  Referee One Referee Two Referee Three
Full Name:
Correspondence Address:
Professional Relationship with the referee: 
Mobile:
Email ID:

11. Joining Documents: Police Verification, Medical Fitness Certificate and Demand Draft of 27,000/ as security deposit against company assets will be submitted as a pre-requisite to joining.

Declaration: I hereby declare that the information furnished above is true to the best of my knowledge and any misrepresentation, falsification or omission of information used to secure employment shall be grounds for rejection of this application and I would liable for legal action, also immediate discharge if I am employed as Project Officer (IT) regardless of the time elapsed before discovery..