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 ( U.P. Passout Student Only )
NOTE – * If you are already registered in U.P. Medical Council, you need not to re-apply for Registration. The earlier registration is VALID either you have apply for NOC to Other State Council also. If you apply again for the registration in U.P. Medical Council, you will be responsible. *
Candidate Details
Title
--Select--
SRI
SMT
KM
*
First Name
Middle Name
Last Name
Gender
Male
Female
Father's Name
*
--Select--
SRI
Mother's Name
*
--Select--
SMT
*
Date Of Birth
*
Religion
--Select--
Hindu
Muslim
Sikh
Christian
NA
*
Address
*
Country
INDIA
NEPAL
BHUTAN
BANGLADESH
*
State
--Select--
*
City
--Select--
*
Pincode
*
Contact No
*
Aadhaar No
*
Email-ID
Course Details
*
Course
M.B.B.S.
*
University
--Select--
*
Center
--Select--
Year of Joining
*
--Select Month--
January
February
March
April
May
June
July
August
September
October
November
December
*
Passing Year
--Select Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Select Month--
January
February
March
April
May
June
July
August
September
October
November
December
*
RollNo
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