JIPMER Application Form for Medical Education and Research

To submit the JIPMER Application Form, ensure all relevant sections are filled, and required documents are attached. You can submit the form via email, fax, online submission forms, or physical addresses provided by the JIPMER recruitment office. For email submissions, send the completed form to the designated JIPMER recruitment email. For fax submissions, fax the form to the provided JIPMER fax number. For online submissions, upload the form through the JIPMER online application portal. For physical submissions, send the completed form and documents to the JIPMER recruitment office address. Ensure submission is completed before the deadline to avoid disqualification.

Important dates for the JIPMER Application Form in 2024 and 2025 will be provided in the official announcement. Keep an eye on the JIPMER website for updates on application deadlines and interview schedules.

The purpose of the JIPMER Application Form is to collect all necessary personal, academic, and professional information for candidates applying for various posts in medical education and research at the Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), an Institution of National Importance under the Ministry of Health, Government of India. This form ensures that the recruitment process is transparent and all required details are provided for a fair assessment of the candidates. The form also serves to verify the eligibility and qualifications of the applicants for the respective positions.

• 1. Full name: Provide your full name in capital letters.
• 2. Name of Father/Husband: Enter the name of your father or husband.
• 3. Gender: Indicate your gender.
• 4. Date of birth: Provide your date of birth.
• 5. Age: Mention your age as on the last date of application.
• 6. Marital status: Indicate your marital status.
• 7. Address for correspondence: Provide your current address for correspondence.
• 8. Permanent address: Enter your permanent address.
• 9. Contact no.: Provide your contact number.
• 10. Email: Enter your email address.
• 11. Category: Select your category - General/SC/ST/OBC.
• 12. Physically handicapped: Indicate if you are physically handicapped (Yes/No).
• 13. Criminal/disciplinary action: Specify if you have been convicted or have any pending cases.
• 14. Educational qualification: Provide your educational qualifications including board/university, year of passing, subjects, and percentage/CGPA.
• 15. National examinations qualified: Enter details of any national examinations qualified, including award letter number, date, roll number, and fellowship validity.
• 16. Research experience: Describe your research experience, including post name, organization, duration of work, and nature of job.
• 17. Masters project: Mention the title and duration of your masters project, if any.
• 18. Research publications: List any research publications, if any.
• 19. Referees: Provide the names and contact details of two referees.
• 20. Check List: Tick proof of enclosures including certificates in support of age, degree/diploma, experience certificate, caste certificate, etc.
• 21. Declaration by the applicant: Declare that all information provided is true, complete, and correct, and agree to terms and conditions.
• 22. Place and Date: Provide the place and date of application.
• 23. Signature of the applicant: Sign the form to complete the application.

Failure to submit the form may result in disqualification from the recruitment process. It is crucial to ensure all required documents and information are provided.

• Disqualification: Non-submission of the form will lead to disqualification from the recruitment process.
• Incomplete Information: Incomplete or incorrect information may result in rejection of the application.
• Missed Opportunity: Failing to submit the form on time means missing out on the opportunity to apply for desired positions.

• 1. Job Applications: Use the form to apply for job positions at JIPMER.
• 2. Research Fellowships: Applicants seeking research fellowships at JIPMER need to submit this form.
• 3. National Examination Qualifications: Candidates who have qualified national exams should fill out the relevant section in the form.
• 4. Caste Category Submissions: Individuals belonging to reserved categories should provide the necessary caste certificates.
• 5. Personal and Educational Details: Provide detailed personal, contact, educational, and professional information in the form.