U.P.Medical Council

M.B.B.S. Permanent Registration Panel ( Other State Passout Student Only )

Candidate Details

Title

* First Name

Middle Name

Last Name

* Father's Name

Gender

Male

Female

* Mother's Name

* Religion

* Address

* Date Of Birth

* Country

* State

* City

* Pincode

* Contact No

* Aadhaar No

* Email-ID

Course Details

* University

* Center

* Course

* Year of Joining

* Year Of Passing

* RollNo

Rotatory Training College Details

* Traning Hospital 1

Hospital

* City

* Joining Date

* Completed On

Traning Hospital 2

Hospital

City

Traning Hospital 3

Hospital

City

** Note: Fill the details in this Section if in case you are registered with any other Medical Council

* Council

* Registration NO.

* Date