VacancyPortal

Fields marked * are required.

👤

Personal Information

Full Name

First Name *

Middle Name (optional)

Last Name *

Identity & Contact

Gender *

Male Female Other

Mobile Number *

Additional / Family Contact (optional)

Email Address *

Date of Birth

Date of Birth (AD) *

Date of Birth (BS) Auto-converted

🗓 Will auto-fill from AD date

Demographics

Religion (optional)

Nationality *

Blood Group (optional)

Marital Status (optional)

Permanent Address *

Village / Town / City & Ward No. *

Street Name (optional)

House No. / Postal Code (optional)

Temporary Address *

✓ Same as permanent address

Village / Town / City & Ward No. *

Street Name (optional)

House No. / Postal Code (optional)

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Identification & Registration

Citizenship Number *

National ID Number (optional)

Passport Number (optional)

Passport Expiry Date (optional)

Driving Licence Number (optional)

PAN Number (optional)

Professional Council Registration *

Council Registration Number *

Council Type

CTEVT NHPC NNC NMC – MBBS NMC – MD/MS Others Not Applicable

Registration Date (optional)

Expiration Date (optional)

Other Council Details (if applicable)

Disability

Do you have any disability? *

Yes No

🎓

Education Information

Add all academic qualifications from SLC/SEE to highest level.

Education Record #1

Academic Level *

Passing Year *

% / GPA *

Name of School / Board / University *

Specialization / Faculty (optional)

Education Record #2 (optional)

Academic Level

Passing Year

% / GPA

Name of School / Board / University

Specialization / Faculty

💼

Employment History (if applicable)

List your previous employment records, most recent first.

Employment Record #1

Name of the Company / Organization

Class / Level

Position / Designation

Start Date

End Date

📋

References from Previous Employment (at least 2)

Reference 1

Full Name

Position / Designation

Mobile Number

Email Address

Reference 2

Full Name

Position / Designation

Mobile Number

Email Address

✍️

Why Do You Want to Join?

Your Motivation Statement *

0 / 500 words

Minimum 50 words · Maximum 500 words

📎

Documents to be Uploaded

Recent Passport Size Photo *

📷

Upload Passport Photo JPG, PNG · Max 2MB · Recent photo only

Cover Letter *

📄

Upload Cover Letter PDF, DOC, DOCX · Max 5MB

Citizenship Card – Front & Back *

🪪

Upload Citizenship Front & Back JPG, PNG, PDF, DOC, DOCX · Both sides required

Updated CV / Bio-Data *

📑

Upload CV / Bio-Data PDF, DOC, DOCX · Max 10MB

Academic Certificates – SLC/SEE to Highest Level *

🎓

Upload All Academic Certificates PDF, JPG, PNG, DOC, DOCX · Multiple files allowed

Council Certificate (CTEVT / NHPC / NNC / NMC / Good Standing – if applicable)

📜

Upload Council Certificate PDF, JPG, PNG, DOC, DOCX · If applicable

Experience Letter(s) (if applicable)

📝

Upload Experience Letters PDF, DOC, DOCX, JPG, PNG · Multiple files allowed

Declaration: I hereby declare that the above written details are correct information filled responsibly from my side. I understand that any false or misleading information provided in this application may result in disqualification or termination of employment.

By clicking Submit, you agree to the declaration above.
Nepal Netra Jyoti Sangh – LEECS