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Instruction
Note
Recommended browser to fill the form:
Internet Explorer (version 10 or later) or
Mozilla Firefox (version 70 or later) or
Google Chrome (version 53 or later) or
Microsoft Edge(version 66 or later) to fill in the Application Form.
Read the below instructions carefully, before filling the form:
Fields marked with
are mandatory.
Important Note
1. On successful registration, you will receive the Login ID and Password on your registered email. Use these to login and fill your online application form.
2. In case of any difficulties you may raise ticket under helpdesk tab and Phone No. 022 61087584 from 10 AM to 5 PM on working days.
Important Note :
1) On successful registration, you will receive the Login ID and Password on your registered email. Use these to login and fill your online application form.
2) Recommended browser to fill the form - Internet Explorer (version 10 or later) or Mozilla Firefox (version 70 or later) or Google Chrome (version 53 or later) or Microsoft Edge(version 66 or later) to fill in the application form.
3) In case of any difficulties you may raise ticket under helpdesk tab and Phone No. 022 61087584 from 10 AM to 5 PM on working days.
Registration Details
Personal Details
Post Applied :
*
---Select---
Insurance Medical Officer Grade II
Please select Post Applied.
Post Code :
Please enter Post Code.
Candidate's Name :
*
Please enter Candidate's Name.
(Please enter your name strictly as per your Matriculation/10th certificate/SSC)
Note: You are required to provide your correct mobile no. and email address as all important communications are to be sent to you using the same.
Mobile Number :
*
Please enter Mobile Number.
Confirm Mobile Number :
*
Please Enter Confirm Mobile Number.
Email ID :
*
Please enter Email ID.
Confirm Email ID :
*
Please Enter Confirm Email ID.
Submit
Version 14.04.01
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