U.P.Medical Council

ENROLLMENT
Completed Successfully

PROFILE COMPLETE NOT YET

PAYMENT COMPLETE NOT YET

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APPLICANT'S COPY

ENROLLMENT FOR PERMANENT (M.B.B.S.) On-Line REGISTRATION

UTTAR PRADESH MEDICAL COUNCIL, LUCKNOW

Name

Mother's Name

Father's Name

Gender

Date of Birth

Mobile No.

Email Id

Aadhaar No.

Address

Qualification

University

Medical College

Course Session

Rotatory Hospital One

City

Joining Date

Completed On

Rotatory Hospital Two

City

Rotatory Hospital Three

City

Fee Details

U. P. Medical Council has the right to cancel the certificate, if any information is found to be incorrect or fake.

( Signature of Applicant )

Date :

Place :