Job Aggregation Form

Fields marked with(*) are mandatory.

Name of the Organization* :

Address of the Organization :

City :

State :

Pin :

Contact Person Name :

Designation :

Email :

Phone :

Mobile :

Organization Profile:

Caterogry :

Large

Medium

Small

Profile :

Healthcare Service Providers

Healthcare Consulting Firm

Equipment Manufacturers & Suppliers

Others

Name of Job Role	Number of workforce required in next 6 month	Number of workforce required in next 1 year	Number of workforce required in next 3 years	Pay Package (Salary & other benefits )	Remarks
Assistant Physiotherapist
Diabetes Educator
Dental Assistant
Anaesthesia Technician
Cardiac Care Technician
Blood Bank Technician
Front Line Health Worker
Dialysis Technician
Diet Assistant
Emergency Medical Technician - Advanced
Emergency Medical Technician - Basic
General Duty Assistant
Histotechnician
Home Health Aide
Medical Equipment Technician (Basic Clinical Equipment)
Medical Laboratory Technician
Medical Records & health Information Technician
Operating Theatre Technician
Pharmacy Assistant
Phlebotomy Technician
Radiology Technician
Refractionist
Speech Audio Therapy Assistant
Vision Technician
X-Ray Technician
Dento Oral Hygienist
Dental Technician
Radiation Therapy Technologist
Others (Please provide list of job role for which demand is expected)