Name *

Date of Birth *

Age on 01^st November of the current calender year *

Gender * Select..... Male Female

Marital Status * Select..... Married Widowed Separated Divorced Single

Father's / Husband's name *

Phone number / Mobile number*

Email address*

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Address*

Guardian's name & relationship with the Applicant

Last exam passed with date, month, year, division and name of the Board / University *

School / College last attended*

Details of the examination passed High School onwards

Marks obtained in the High School Examination

English *

Mathematics*

Science*

Marks obtained in the PUC Examination

English *

Physics *

Chemistry*

Biology*

Mathematics*

The List of Orginal Certificates to be presented at the time of interview

Transfer Certificate - High School

Transfer Certificate - PUC

Marksheet and Pass Certificate - High School

Marksheet and Pass Certificate - PUC

Income Certificate

Study Certificate

Cast Certificate

Migration Certificate

Any other

Date *

G E F Eye Hospital
HOSKOTE- 562114. BANGALORE, INDIA
+91 8025 2551 74, +91 8111 6505 01 / 2 / 3
e-mail: gefbangalore1995@hotmail.com

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  * I hereby declare that the above information is correct and complete to the best of my knowledge and belief.

INSTRUCTION

• Application must reach GEF eye hospital by the due date.
• Do not submit certificates in Original, only Photostat copies be sent along with the Application. Orginal certificates must be produced at the time of inderview. Canvassing in any from will disqualify the candidate.
• No correspondance will be entertained with ineligible candidates.
• The center does not bear any responsibility for postal delay/loss in transit. Candidates are hence advised too send all correspondance by Regd./Speed post/Courier.
• No TA/DA is admissible for attending the interview.