MAHARASHTRA STATE OTPT COUNCIL

DMER, 4th Floor, St.George's Hospital Campus,   Mumbai - 400001  Fax No. : 022-22620408   Tel. No. :
022-22620408
e-Mail : otptcouncil@gmail.com   
Website : www.mahaotandptcouncil.in

REGISTRATION
Print Date : 15/05/2

Note :- 1. Photo should be click on apron.

2. Photo should be attested by Principal of U.G. College.

3. Send Printed Application Form along with D.D.(Demand Draf t and Xerox Copy) and Three copies of latest photographs click on apron(1
photo of Size 4.5 x 3.5 cm , 2.photos of Size 3.5 x 3.5 cm,3.photo of Size 2.5 x 2.5 cm).
4. Submit One set of self attested photo copies of all Scan document.

Application Details

Application Number : 20220001147 Application Date : 12/05/2022 State : Maharashtra

Basics Details

Prefix : Ms.
First Name : Kajal Middle Name : Ramesh Last Name : Vichare
Date Of Birth : 24/07/1995 Sex : Female Marital Status : Single
Nationality : India Birth Place : Mumbai Purpose Of Registration : Private Practic
Last Name (Devnagari) : विचारे First Name (Devnagari) : काजल Middle Name (Devnagari) : रमेश

Father Name : Mr. Ramesh Mahadeo Vichare Mother Name : Mrs. Reema Ramesh Vichare
Maiden Name :
Contact Details

Clinic Tel. 9969467154 Residential Tel.

9960262823 Mobile No.
9359221532
E-Mail
kjvichare@gmail.com
Residential Address Profesional Address

  Is Residential address same as address for Professional

Address : *
707 B Wing Om State :*
Maharashtra Address.
Shrama Safalya CHS Near District :*
Mumbai Suburban Address : 707 B Wing Om State :
Maharashtra
Triveni Nagar Kurar Village City :
Malad Shrama Safalya CHS Near District :
Mumbai Suburban
Malad East Mumbai Village/Town :
Kurar Village Triveni Nagar Kurar Village District :
Mumbai Suburban
Pin Code :
400097 Malad East Mumbai City : Malad
Pin Code : 400097
Educations Details

Basic Qualification : Course : Course Duration :

Bachelor in Physiotherapy PHYSIO THERAPY 4 Years

Institute : Institute Place : University :

Smt.Kashibai Navale College Of S.No.49/1,off.Pune-banglore Westerly By Maharshatra University Of Health

Physiotherapy,Pune Pass, Narhe(Ambegaon),Dist pune Science,Nashik
University Place:
Passing Date :

Mhasrul,Wani-Dindori Road. 06/05/2021

Internship Details

Sr.No. Appl No Start Date End Date

1 20220001147 24/05/2021 23/11/2021

Amount

Amount : 3000.00