NHM
Union Maharashtra.
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Home
Documents
Employee Corner
Health Programs
Admin Login
Employee Corner
Detailed Registration Form for New Employees
Personal Information
Full Name
Gender
Select Gender
Male
Female
Other
Date of Birth
Blood Group
Select Group
A+
A-
B+
B-
AB+
AB-
O+
O-
Religion
Caste
Sub-Caste
Marital Status
Select Status
Married
Unmarried
Divorced
Are you Physically Disabled?
Yes
No
Contact & Education
Mobile Number
Email ID
Educational Qualification
Permanent Address
Village
Taluka
District
Pin Code
Office Address
Village
Taluka
District
Pin Code
Employment Details
Designation
Name of the Program Currently Working Under
Office Name
Select Office
Sub Center
PHC
THO Office
RH
UHWC
HBT
SDH
DWH
ZP
Civil
Municipal Corporation
DD
SO Pune
Arogya Bhawan
Date of Joining
Under which scheme were you selected?
Select Scheme
NHM
NUHM
HBT
15th Finance
Other
Is EPF being deducted?
Yes
No
Is there any break in your service?
Yes
No
Submit Employee Registration