Apply Online | NAMO Medical Education & Research Institute & NAMO Hospital, Silvassa

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Application Number

Date of Birth

Provisional Application No. — keep this along with your Date of Birth to resume later. A final application number will be issued once your advance payment is confirmed.

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Part A — Personal Details

Applicant's Name (CAPITAL LETTERS) *

Father's / Mother's / Spouse's Name

Date of Birth *

Age As on Closing Date (13/10/2026)

Gender *

Nationality

Category *

Category Certificate No.

Certificate Date of Issue

Aadhaar / Government-Issued ID Details

Mobile *

Email *

Correspondence Address *

City *

State *

PIN *

Same as Correspondence Address

Permanent Address (if different)

Part B — Post Applied For

Post

Department

Specialty

Post Type

Applying for more than one post?

Apply for STC as well?

Details of Additional Post(s) Applied For

Part C — Educational Qualifications

Additional Academic Qualifications

Part D — Professional Experience

Details of Present Employment

Name of Institution

Designation

Department

Date of Joining

dd/mm/yyyy

Present Pay Level/Pay

Complete Teaching Experience

Total Teaching Experience:

Years

Months

Clinical Experience

Administrative Experience

Part E — Research & Academic Achievements

Total Research Publications

Indexed Publications

First/Corresponding Author Publications

Research Publications

Research Projects

Total External Research Funding Obtained (₹)

PhD Scholars Supervised

MD/MS/DNB/MDS Students Supervised

Patents

Innovations

Copyrights

Books / Chapters / Guidelines

Part F — Teaching & Academic Contribution

Undergraduate Teaching Experience (years)

Postgraduate Teaching Experience (years)

Curriculum Development

Examination Experience

CME / Conference / Workshop Experience

Awards / Honours / Fellowships

Part G — Leadership Experience (Dean applicants only)

To be completed only by candidates applying for the post of Dean.

Leadership Experience Areas

Previous Institutional Leadership Positions

Major Institutional Achievements (up to five)

NMC Compliance

Starting/Increasing MBBS/PG Seats

Establishing New Departments/Services

Hospital Development

Recruitment and Faculty Development

Research and Academic Development

Vision for NAMO MERI (max 1500 words)

Annexure I — Administrative Achievement Sheet

Part H — Professional Leadership

National/International Committees

Conferences as Organiser/Chairperson

International Experience

Part I — Other Information

Computer / Digital Health Skills

Please specify other skill(s)

Languages Known

Professional Committees / International Experience

Declarations

Disciplinary proceedings pending?

Details

Criminal case pending?

Details

Ever dismissed/removed from Govt. service?

Details

Part J — Present Employer / NOC

For candidates presently employed in Government / Autonomous / Public Sector / Government Medical Colleges.

Name of Employer

Designation

Date of Appointment

NOC Enclosed?

Date of NOC

Part K — Document Checklist

Check each document you are enclosing and upload it below (PDF or image, max 2MB per file — 10MB for "Any other relevant document"). Photo and Signature are required.

Part L — Self-Assessment of Eligibility

Confirm whether you meet each eligibility requirement below.

Additional Information, if any

Part M — Declaration & Submit

Application Saved

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Keep this number for all further correspondence regarding your application.

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