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REQUIREMENTS FOR DUPLICATE REGISTRATION :-

  • Application on letterhead or Rubber Stamp With Name & Registration Number.
  • Police Complaint in Original.
  • Affidavit on Stamp Paper of Rs. 100/- mentioning how the practitioner has lost the registration certificate & the practitioner has not applied for duplicate registration earlier.
  • Two passport size photographs.
  • Fees of Rs. 2000/-
REQUIREMENTS FOR CHANGE OF NAME :-
  • Application on letterhead or Rubber Stamp with Name & Registration Number.
  • Marriage Certificate in Original with Xerox.
  • If there is change in the first name also practitioner has to submit Govt. Gazette in Original with Xerox of the first page of gazette & the Xerox copy of the page on which Change name has appeared.
  • Fees of Rs. 500/-
REQUIREMENTS FOR PROVISIONAL REGISTRATION :-
Applications for provisional registration should be submitted by college only.
  • Original College Internship Duration Certificate.
  • Original University Passing Certificate with one Xerox copy.
  • Original Date of Birth Certificate with One Xerox copy.
  • All above Xerox copies should be countersigned by your College Principal.
  • Registration Fee Rs. 500/-
  • Two passport size photographs with signature of the applicant on the front side of the photograph.
REQUIREMENTS FOR OUT STATE REGISTRATION :-
  • Qualification Certificate in Original.
  • Permanent Registration Certificate of State in Original from which he/she has obtained Qualification.
  • Date of Birth in Original S.S.C. Board certificate, School or College Leaving or proper Birth certificate.
  • College internship Certificate in Original.
  • College Bonafide or Character or T.C. or leaving in original.
  • Every year Mark lists in Original.
  • Five passport size photographs with Signature on one.
  • Registration Fees Rs. 7000/- + 300/- For I-card.
  • If possible give address of the police station close by your college locality.
  • You need to submit two Xerox copies of each of the above mentioned originals countersigned by your College principal where you have received your medical education.
  • Please submit an affidavit on Stamp Paper of Rs.100/.
  • Mention Permanent Residential Address of Maharashtra on the Application Form.
  • You are requested to submit residential address proof.

 

   
   
   
   
   
   
   
   
   

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