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Applicant'S Copy: Enrollment For Permanent (M.B.B.S.) On-Line Registration Uttar Pradesh Medical Council, Lucknow

This document is an enrollment form for permanent M.B.B.S. registration with the Uttar Pradesh Medical Council. It contains details of the applicant such as name, date of birth, address, qualification, university, medical college, and fee details. The applicant has an M.B.B.S. degree from The TamilNadu Dr. M.G.R. Medical University and completed their rotatory internship at Trichy SRM Medical College Hospital & Research Centre in Trichy, Tamil Nadu.

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Shweta jain
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758 views1 page

Applicant'S Copy: Enrollment For Permanent (M.B.B.S.) On-Line Registration Uttar Pradesh Medical Council, Lucknow

This document is an enrollment form for permanent M.B.B.S. registration with the Uttar Pradesh Medical Council. It contains details of the applicant such as name, date of birth, address, qualification, university, medical college, and fee details. The applicant has an M.B.B.S. degree from The TamilNadu Dr. M.G.R. Medical University and completed their rotatory internship at Trichy SRM Medical College Hospital & Research Centre in Trichy, Tamil Nadu.

Uploaded by

Shweta jain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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6/20/22, 3:20 PM

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

UTTAR PRADESH MEDICAL COUNCIL, LUCKNOW

Reference No. : 2266014722PROS Date of Apply : 15/06/2022

Name : SRI BALASUBRAMANIAN VIGNESH

Mother's Name : SMT ANURADHA BALASUBRAMANIAN

Father's Name : SRI BALASUBRAMANIAN VENKATARAMAN

Gender : MALE

Date of Birth : 16/03/1993

Mobile No. : 9327716381

Email Id : balaiyaru@gmail.com

Aadhaar No. : 922680384819


ANU GRUHA,NO 3, MURUGESAN STREET,NEAR HARRINGTON SUBWAY, SHENOY
Address :
NAGAR DISTRICT - CHENNAI, TAMIL NADU, INDIA - 600030
Qualification : M.B.B.S.

University : THE TAMILNADU DR. M.G.R. MEDICAL UNIVERSITY, CHENNAI

Medical College : TRICHY SRM MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE, TRICHY

Course Session : JONING : SEPTEMBER-2010 PASSING : FEBRUARY-2015


CHENNAI MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTER ( TRICHY SRM
Rotatory Hospital One :
), TRICHY HOSPITAL
City : TRICHY

Joining Date : 30/03/2015

Completed On : 29/03/2016

Rotatory Hospital Two :

City :

Rotatory Hospital Three :

City :

Fee Details : OBC / 3540(FEE-3000.00,GST-540.00) / 20/06/2022 / 2daf3485fa2ad5d3efcc2266014722PROS

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 :

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