VacancyPortal

Fields marked * are required.

👤

Personal Information

Full Name

First Name *

Middle Name (optional)

Last Name *

Identity & Contact

Gender *

Male Female Other

Mobile Number *

Additional / Family Contact (optional)

Email Address *

Date of Birth

Date of Birth (AD) *

Date of Birth (BS) Auto-converted

🗓 Will auto-fill from AD date

Demographics

Religion (optional)

Nationality *

Blood Group (optional)

Marital Status (optional)

Permanent Address *

Village / Town / City & Ward No. *

Street Name (optional)

House No. / Postal Code (optional)

Temporary Address *

✓ Same as permanent address

Village / Town / City & Ward No. *

Street Name (optional)

House No. / Postal Code (optional)

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Identification & Registration

Citizenship Number *

National ID Number (optional)

Passport Number (optional)

Passport Expiry Date (optional)

Driving Licence Number (optional)

PAN Number (optional)

Professional Council Registration *

Council Registration Number *

Council Type

CTEVT NHPC NNC NMC – MBBS NMC – MD/MS Others Not Applicable

Registration Date (optional)

Expiration Date (optional)

Other Council Details (if applicable)

Disability

Do you have any disability? *

Yes No

🎓

Education Information

Add all academic qualifications from SLC/SEE to highest level.

Education Record #1

Academic Level *

Passing Year *

% / GPA *

Name of School / Board / University *

Specialization / Faculty (optional)

Education Record #2 (optional)

Academic Level

Passing Year

% / GPA

Name of School / Board / University

Specialization / Faculty

💼

Employment History (if applicable)

List your previous employment records, most recent first.

Employment Record #1

Name of the Company / Organization

Class / Level

Position / Designation

Start Date

End Date

📋

References from Previous Employment (optional)

Reference 1

Full Name

Position / Designation

Mobile Number

Email Address

Reference 2

Full Name

Position / Designation

Mobile Number

Email Address

✍️

Why Do You Want to Join?

Your Motivation Statement *

0 / 500 words

Minimum 50 words · Maximum 500 words

📎

Documents to be Uploaded

Recent Passport Size Photo *

📷

Upload Passport Photo JPG, PNG · Max 2MB · Recent photo only

Cover Letter *

📄

Upload Cover Letter PDF, DOC, DOCX · Max 5MB

Citizenship Card – Front & Back *

🪪

Upload Citizenship Front & Back JPG, PNG, PDF, DOC, DOCX · Both sides required · Max 1MB

Updated CV / Bio-Data *

📑

Upload CV / Bio-Data PDF, DOC, DOCX · Max 5MB

Academic Certificates – SLC/SEE to Highest Level *

🎓

Upload All Academic Certificates PDF, JPG, PNG, DOC, DOCX · Multiple files allowed

Council Certificate (CTEVT / NHPC / NNC / NMC / Good Standing – if applicable)

📜

Upload Council Certificate PDF, JPG, PNG, DOC, DOCX · If applicable · Max 5MB

Experience Letter(s) (if applicable)

📝

Upload Experience Letters PDF, DOC, DOCX, JPG, PNG · Max 1MB

Declaration: I hereby declare that the above written details are correct information filled responsibly from my side. I understand that any false or misleading information provided in this application may result in disqualification or termination of employment.

By clicking Submit, you agree to the declaration above.
NNJS – LEECS