efeaom HARYANA
wanes
AFRIOAVIT FOR PENAANENT REGISTRATION (FOR FOREIGN GRADUATE CRKOIOATES)
aout of acim
Rohtak ryana 324003,
the above named ponent, do hereby solemnly atfim and dedae as unde =
So Krishan Kumar, Age 26 R/o H. No. 171/11 Chankya Puri Sheela Bye Pass
{| 4 That the deponent vide his accompanying application i seeking his permanent Medical
Registration Certificate forthe fist ime from the Haryana Medical Council Panchkula and the
Self attested photocopy of my Aadhar cards enclosed herewith to establish my ident
1 2. That for my medical Regstration, | passed the requste medial qualification of MBBS
'MO(Physician) or equivalent foreign qualification of MBAS from Avicenna tak state medial
"university inthe Country of Taikstan in the year 2020 (self attested Certificate atached).
3. That previously 1 Was registered with National Research Avicenna tak state medical university
J} inthe Country of Tajkstanin the year 2020 vide mesica egstration no. 263 date 29 may 2020
the sel attached photocopy of whichis enclose,
4. That lam notin any way presently registered with any other Medical counel india or with the
1 tagia Medical Counc (rts Successor
5. That my Mobile No. is 7027844321 and my mal LD. is aityamalik876@ gmail.com,
Place Rook ail
ited 22/03/2023. i
% ‘ten
ericson =
{| _vesied thatthe contents of paras 1t0 5 of my above affidavit are true and correct to my
‘owlede Ho Part of itis false and noting atv has been Kept canceled therein,
the: ohak
byte 2203.02, Be
ar
hail Attvocate
' Morar Pubhc Rohtak Diet
: 2 Umar 2023