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

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    Shweta jain
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    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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    vignesh app_220620_152348

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    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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    110 views1 page

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

    Uploaded by

    Shweta jain
    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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    of 1

    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 :

    1/1

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