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Job Application - Screening
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Job Application Form
Name
*
Mobile number
*
Email
*
Date of Birth
*
Choose the Type of JOB
*
Technical ( Optometrist, Lab,Nurse,Pharmacist, OT Technician etc )
Non Technical ( All others )
Technical
*
--- Select Choice ---
Optometry
Nurse
OT Technician
Pharmacist
Health care Social Worker
Others
Tick the most suitable position you are applying. Can tick more than one.
Front office Receptionist/Tele Caller
Patient care associate
Billing and Accounts
Admin Department
HR Department
Marketing Team
Others
Mother Tongue
*
Languages Known to speak
Kannada
English
Hindi
others
Others.. Please specify
*
Marital Status
*
--- Select Choice ---
Single
Married
Divorcee
Do not want to disclose
Address
*
Pin Code
*
Highest Educational Qualification
*
to tick suitable
Work Experience
*
--- Select Choice ---
Fresher
Experienced
Total Work Experience in years
Selected Value:
0
Expected salary (per month)
*
How did you know about the vacancy?
Self
Friend/Relatives
Portal
Advertisement
Others
Do you want to give any reference
yes
Name of the reference person
*
Phone number of the reference person
*
Write about yourself
Why do you want to work at Shekar Eye Hospital
About Yourself
*
You can write about yourself, your areas of interest and your expectations of work place
Submit