Pre Registration Form
  • For any of the module chosen, Registration is Mandatory, After registration you can redirect into Courses list page. Please select the course and make the payment full.
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  • Name*
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  • First Name*
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  • Last Name*
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  • Date Of Birth*
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  • DD-MM-YYYY*
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  • Gender*
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  • Eggs*to order
    Male
    Female
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  • Email*
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  • A Valid Email Address*
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  • Contact Number*
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  • eg: 9012345678*full name
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  • Upload your CV and Photograph*
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  • CV and Photograph*Upload
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    • Upload your updated CV and Photograph
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    • Highest Education Qualification*
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    • Highest education*Upload
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      • Upload your scanned Copy of highest qualification certificate – MD / DNB / Equivalent for international candidates
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      • Medical registration in your respective medical council*
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      • Medical registration*Upload
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        • Upload your scanned copy of medical registration in your respective medical concil
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        • Proof of address – Passport / License / Equivalent copy*
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        • Proof of address*Upload
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          • Upload your scanned copy of Proof of Address
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          • Recommendation letter from Head of the Department in your institute
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          • Recommendation*Upload
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            • Upload scanned copy of recommendation letter from Head of the department (Optional)
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