GIMS – Government Institute of Medical Sciences

Registration Number *

Personal Details

Fill in all mandatory fields accurately as per official records

Photograph & Signature

Applicant's Photograph *

📷

Click to upload passport-size photo

JPG/PNG, max 200KB, white background

Applicant's Signature *

✍️

Click to upload scanned signature

JPG/PNG, max 100KB, white background

Post & Identification

Applicant's Registration Number

Aadhaar Number *

Applicant's Full Name *

Contact Number *

Email Address *

Family Information

Father's Name *

Mother's Name *

Birth & Category

Date of Birth *

Category *

Gender *

Country of Birth *

Domicile of Uttar Pradesh *

Yes No

Address Details

Address *

Landmark

State *

City *

Pin Code *

Other Information

Are you Physically Handicapped? *

Yes No

Are you a Ex-serviceman? *

Yes No

Are you a Central/State Govt. Civilian Employee? *

Yes No

Have you ever been punished/convicted under any University, Court of Law or Government Body? *

Yes No

Are you a National Level Sports Player? *

Yes No

Extra Achievements

Separate multiple achievements with a comma.

Educational Details

Add all your academic qualifications

Standard / Level *

Passing Year *

Board / University *

Percentage / CGPA

Roll Number

Upload Certificate

📎 Upload Certificate

Educational certificates will be uploaded in Step 4.

Professional Experience

List all relevant work experience

Name of Post / Designation *

Institution Name *

Date of Joining *

Date of Leaving

Nature of Work/ Duties

Upload Expereince *

📎 Upload Certificate

Upload Other Documents

Complete the final section before submission

Declaration & Preview

Review your application before final submission

Application Preview

Personal Information
Application No.
Post Applied
Full Name
Father's Name
Mother's Name
Date of Birth
Gender
Category
Mobile
Email
Address	, , -

Declaration

I hereby declare that all the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at any stage, my candidature/appointment is liable to be cancelled/terminated. I also agree to abide by the rules and regulations of GIMS as applicable.

I have read and agree to the above declaration. I confirm that all details entered are correct.

Application Fee Payment

GIMS Online Recruitment Portal

Description	Amount
Application Processing Fee	₹1,000
Category Surcharge (General/OBC)	₹500
Convenience Charges	₹50
Total Payable	₹1,550

Select Payment Method

🏦Net Banking

💳Debit/Credit Card

📱UPI

🏧Challan

📄Demand Draft

⚠️ Important: Application fee once paid is non-refundable. Ensure all details are correct before proceeding.

✓

Application Submitted Successfully!

Your application for GIMS Recruitment has been received.

Your Application Number:

GIMS-2025-000000

A confirmation has been sent to your registered email address.

📌 Next Steps:

Download your Application Acknowledgement from the portal.
Keep your application number for future reference.
Check your email regularly for updates.
Admit card will be issued separately, if applicable.

📄 Download / Print Application Receipt

Candidate Login

Personal Details

Educational Details

Professional Experience

Upload Other Documents

Declaration & Preview

Application Fee Payment

Application Submitted Successfully!