ONLINE APPLICATION FORM

Recruitment of Top Management/ Senior/ Mid Level Vacancies
Uttar Pradesh Medical Supplies Corporation (UPMSC), Lucknow

 

 

[Note: online application form to be filled only in English]

1. Personal Details:

*Position Applied For: Position Reference Code:
* Title * Applicant's Name:
* Father's/ Husband's Name:
* Date of Birth (DD/MM/YYYY):
* Gender: * Mobile Number:
* Email ID: * Alternate Contact No.:
Permanent Residence State:
Note: Candidates having permanent residence state of Uttar Pradesh need to furnish their Residential Certificate (For employment purpose) issued by competent authority of Uttar Pradesh at the time of document verification process
Category:
Note: Candidates applying under reserved category shall need to produce a copy of latest caste certificate issued by competent authority (not below then Sub-Divisional Magistrate) , to be duly attested by a Gazetted Officer at time of document verifcation process.
Are you falling in the category of Physically handicapped?

OH – Orthopedically handicapped; HH ‐ hearing handicapped; VH‐ visually handicapped
Note: If Person with disability (PWD) candidate is selected under PH cateogory. S/he needs to produce PH certificate issued by competent authority of Uttar Pradesh.

2. Address:

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


3. Educational Qualification Details:

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

4. Work Experience: कार्य अनुभव:

[Note: Start with current/ most recent experience. If you have worked in more than one post within the same organization, please provide separate details for each.
Name of Organisation
Designation/ Title alongwith Duration
[e.g. Block Coordinator, June-2015 to Aug-2016]
Key Areas of Experience & Job Responsibilities
[Mention atleast 3 key responsibilities]
Key Areas of experience in the Sector (Please check atleast one from the checklist for each of your experience below) Experience of working with Public Agencies Level of Your Role
(Please choose one from drop-down for each of your experience below)
Experience Duration

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5. Experience working on IT System and Developing System and Process:

(1) Experience in IT based Inventory Management System or E-Procurement Platform:

(2) Experience in developing systems and processes:

6. Additionals/Relevant Experience Details:
(Please provide details of additional experience/ knowledge that you possess and commensurate with the position in the adjacent column e.g experience or knowledge of working any specific software etc.)

7.Upload Recent Passport Size Photograph
* Upload Passport Size Photograph

[Supported Formats: jpeg, jpg and png file size: 100 KBs]

* Upload Your Signature

[Supported Formats: jpeg, jpg and png file size: 20 KBs]
Declaration by Candidate: 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 by UPMSC regardless of the time elapsed before discovery.
घोषणा: मेरे द्व़ारा ये घोषित किया जाता है कि उपर्युक्त दी गई सूचना मेरी जानकारी के अनुसार सही है रोजगार पाने के लिए कि गई अगर किसी भी गलत बयानी, मिथ्याकरण या जानकारी कि चूक के कारण इस आवेदन की अस्वीकृति के लिए पात्र हूं और कानूनी कार्रवाई के लिए जिम्मेदार हूं और किसी भी समय मुझे तत्काल पद से बर्खास्त किया जाए अगर मै UPMSC में कार्यरत हूं ।