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Lab Technician
Open: 2083-04-01 — Close: 2083-04-31
Personal
Contact & Address
Academic
Experience
Training & Other
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Basic
First Name
*
Middle Name
Last Name
*
Date of Birth (B.S.)
*
Ethnicity
*
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Adibasi/Janajati
Dalit
Khas Arya
Madhesi
Muslim
Tharu
Religion
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Buddhist
Christian
Hindu
Muslim
Other
Gender
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Male
Female
Other
Marital Status
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Married
Unmarried
Separated
Widowed
Blood Group
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A+ve
A-ve
B+ve
B-ve
O+ve
O-ve
AB+ve
AB-ve
Spouse Name
Spouse DOB (B.S.)
Spouse Citizenship No.
Family
Father Name
*
Mother Name
*
Grandfather Name
*
Citizenship
Citizenship No.
*
Issuing District
*
Date of Issue (B.S.)
*
Additional Details
National ID No.
Any Disability?
Yes
No
Disability Reason
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Contact Details
Email
Phone Number
*
Permanent Address
Province
*
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Province No. 1
Madhesh Province
Bagmati Province
Gandiki Province
Lumbini Province
Karnali Province
Sudur-Paschim Province
District
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Municipality
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Ward No.
*
Area
Tole/Street
Block No.
Same as Permanent Address
Present Address
Province
*
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Province No. 1
Madhesh Province
Bagmati Province
Gandiki Province
Lumbini Province
Karnali Province
Sudur-Paschim Province
District
*
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Municipality
*
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Ward No.
*
Area
Tole/Street
Block No.
Guardian Information
Guardian Name
Relation
Guardian Contact
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Academic Qualifications
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Institute
Level
Year
Duration (Years)
Main Course
Percentage
Grade
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Below SEE
SEE/SLC
Intermediate/+2
Bachelor
Master
M.Phil.
Ph.D.
Other
Either percentage or grade is required for each row.
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Work Experience (if any)
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Organization
Address
Position
From
To
Supervisor
Supervisor Contact
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Training
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Institute
Title
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Language Proficiency
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Language
Read
Write
Speak
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Excellent
Good
Fair
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Excellent
Good
Fair
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Excellent
Good
Fair
Additional Qualifications / Skills
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Qualification/Skill
Membership of Professional Council
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Council/Association
Issuing Country
Membership No.
Status
References
Full Name
Email
Organization
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Documents
Allowed file types: jpg, jpeg, png, pdf. Max size: 5MB.
Citizenship Certificate
*
Passport-size Photo
*
Additional Information
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I confirm the above information is accurate and complete.
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