Membership Registration

Guidelines

  • Fill all required (*) fields accurately.
  • Passwords must be at least 6 characters.
  • Profile photo max size 1MB.

Basic Info

Address Details

Permanent Address

Current Address

Medical Council

Primary

Enter Details of at least One PG course

Diploma

Proposed By / Seconded By

Classification

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(File Size Max 1MB)

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Remarks

Review & Submit

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