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. Provisional Registration Panel ( Other State Passout Student Only )
Candidate Details
Title
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SRI
SMT
KM
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First Name
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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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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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Year Of Passing
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Rotatory 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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Registration NO.
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Date
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