Applicant’s Profile

Online form based on the official NAM Keralam application format. Post applied for is fixed from the selected opening.

Post applied for: Multi Purpose Health Worker
Notification - Thiruvananthapuram: Multi-Purpose Health Worker Notification No. NAM/DPMSU/TVPM/1793/2026 View notification Last date 18/11/2026

Essential qualification: B.Sc. Nursing/ GNM Nursing Approved by a recognized Nursing School with Kerala Nursing & midwife Council Registration Age limit: 21–40 years Age as on 09/11/2026

* Mark mandatory fields. Upload certificates only for the qualifications configured for this designation.

Personal details

Prefix * Name * Only letters, spaces and full stops are allowed. The name is converted to capital letters automatically. Name of Father / Husband / Guardian * Letters, spaces, apostrophe, hyphen and full stop only. Digits are not allowed. Sex * Date of Birth * Age (as on 09/11/2026) Calculated automatically. Allowed: 21–40 years.

Age proof document * Age proof certificate (PDF) * Upload the selected age proof document. PDF only, maximum 2 MB. Marital Status *

Residential Address *

Address for Communication * Same as above

Phone No. (Mobile) * Enter exactly 10 digits (starting with 6–9). To change it, delete and retype. Duplicate mobile for this opening is not allowed. Email Id * Valid email required. Duplicate email for this opening is not allowed.

Essential Qualifications *

Enter details and upload a certificate for each essential qualifications item shown below. Certificate Issuing Authority is optional.

Qualification *

B.Sc. Nursing/ GNM Nursing Approved by a recognized Nursing School with Kerala Nursing & midwife Council Registration

Subject * Institution * Certificate Issuing Authority Year of passing * Supporting certificate (PDF) * Upload the B.Sc. Nursing/ GNM Nursing Approved by a recognized Nursing School with Kerala Nursing & midwife Council Registration certificate (PDF). PDF only, maximum 2 MB.

Photograph * Passport size, 3.5 cm wide × 4.5 cm high. JPG, PNG, or WebP. Maximum 50 KB.

Passport size preview

Declaration

The above mentioned facts are true and fair to the best of knowledge and belief.

Place * Date * I accept the declaration and submit this application online in place of a physical signature. *

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