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APPLICANT'S COPY

ENROLLMENT FOR ADDITIONAL ON-LINE REGISTRATION

UTTAR PRADESH MEDICAL COUNCIL, LUCKNOW

Reference NO. = 234425159070ADD Apply Date = 10/04/2023

Name : SANJAY SOOD

Mother's Name : SMT SHAKUNTALA SOOD

Father's Name : AMAR SINGH SOOD

Gender : MALE

Date of Birth : 25/01/1991

Mobile No. : 9837213948

Email Id : drssood@gmail.com

Aadhaar No. : 705512813364


99-106 JAMUNA DHAM GOVERDHAN
Address :
ROAD
4d9f4a6aab234425159070ADD/1770(FEE-
Fee Details :
1500.00,GST-270.00)/25/04/2023
Permanent No. : 35234

Permanent Generated Date : 02/12/1991

Additional Course Detail


AGRA
M.D. (GENERAL
Course UNIVERSITY UNIVERSITY,
MEDICINE)
AGRA
S.N. MEDICAL COLLEGE,
CENTER YEAR OF JOINING July - 1992
AGRA
YEAR OF PASSING August - 1995 ROLL NO 38
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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