U.P. Medical Council
5, Sarvpalli Mall Avenue Road, Lucknow - 226001 (U.P.) India
Call -
(0522) 2238846, 2235964, 2235965, 3302100
Email-Id -
upmedicalcouncil@upsmfac.org
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M.B.B.S. Permanent Registration Panel (Foreign Passout student Only)
Have you qualified the screening test conducted by N.B.E. (National Board of Examination) ?
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Sorry you are not eligible, Screening Test must be Qualified to Fill this Form !!!
Are You registered in Other Medical Council ?
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Do you have a domicile of U. P. ?
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Do you have Provisional Registration in U. P. Medical Council ?
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Please Enter F. P. No. (Foreign Provisional NO.)
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Candidate Details
Title
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SRI
SMT
KM
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First Name
Middle Name
Last Name
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Father's Name
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SRI
Gender
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Mother's Name
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SMT
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Religion
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Address
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Date Of Birth
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Country
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State
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City
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Pincode
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Contact No
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Aadhaar No
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Email-ID
Course Details
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University
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Center
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Course
M.B.B.S.
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Year of Joining
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RollNo
Rotatory Training College Details
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Traning Hospital 1
Hospital
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City
*
Joining Date
*
Completed On
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Internship
Completion Mode
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Traning Hospital 2
Hospital
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Traning Hospital 3
Hospital
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**Note: Fill the details in this Section if in case you are registered with any other Medical Council
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Council
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ANDHRA PRADESH MEDICAL COUNCIL
ARUNACHAL PRADESH MEDICAL COUNCIL
ASSAM MEDICAL COUNCIL
BIHAR MEDICAL COUNCIL
CHHATTISGARH MEDICAL COUNCIL
DELHI MEDICAL COUNCIL
GOA MEDICAL COUNCIL
GUJARAT MEDICAL COUNCIL
HARYANA MEDICAL COUNCIL
HIMACHAL PRADESH MEDICAL COUNCIL
JAMMU & KASHMIR MEDICAL COUNCIL
JHARKHAND MEDICAL COUNCIL
KARNATAKA MEDICAL COUNCIL
KERALA MEDICAL COUNCIL
MADHYA PRADESH MEDICAL COUNCIL
MAHARASHTRA MEDICAL COUNCIL
MANIPUR MEDICAL COUNCIL
MEGHALYA MEDICAL COUNCIL
MIZORAM STATE MEDICAL COUNCIL
NAGALAND MEDICAL COUNCIL
NATIONAL BOARD OF EXAMINATIONS
NATIONAL MEDICAL COMMISSION
ODISHA MEDICAL COUNCIL
ORISSA MEDICAL COUNCIL
OTHER
PUNJAB MEDICAL COUNCIL
RAJASTHAN MEDICAL COUNCIL
SIKKIM MEDICAL COUNCIL
TAMIL NADU STATE MEDICAL COUNCIL
TELANGANA MEDICAL COUNCIL
TRAVANCORE COCHIN MEDICAL COUNCIL
TRIPURA STATE MEDICAL COUNCIL
UTTARAKHAND MEDICAL COUNCIL
WEST BENGAL MEDICAL COUNCIL
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Registration NO.
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Date
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