8/24/23, 1:15 PM Institute Affiliation

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Application form for Renewal Affiliation for Medical Faculty *Fill as per MCI norms

 Institute Details
Teaching / Non-teaching Staff Details
 Course Details
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 Building Details
Staff Details

 Hostel Details Council Registration

MP11569 Department Name* PAEDIATRICS
Number*
 Hospital Details
DOB
Name * DR AJIT ANAND ASATI 13/07/1983
(DD/MM/YYYY) *
 Library & Lab Details

Category * UR Gender * Male Female

 Staff Details
Date of Appointment Letter
 Transportation Details
Appointment Letter No. * 489 24/01/2019
(DD/MM/YYYY) *

 IT Infrastructure Details Staff Type * Teaching Designation * Assistant Professor

 Declaration Designation From Date (dd/mm/yyyy) To Date (dd/mm/yyyy) Experience (in Months)

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Associate Professor
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Assistant Professor 05/01/2019 24/08/2023 55

Demonstrator

Highest Qualification * MD Specialization* PEADIATRICS

Total Experience
55 Year of Degree* 2015
(in months)*

Mobile Number* 9599076661 Email Id* asati.ajit@gmail.com

College
SAIMS INDORE
(Degree Taken From)*

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Council
DOB Appointment
  SNo. Registration Department Name Category Gender Type
(DD/MM/YYYY) Letter No.
Number

1 MP4922 GENERAL DR 30/10/1975 General MALE 267 Teachin

MEDICINE ABHAY S
TIRKEY
TAPTI

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8/24/23, 1:15 PM Institute Affiliation

DR
2 MP6877 PHYSIOLOGY AHILYA 09/05/1980 ST FEMALE 2051-59 Teachin
UIKEY

DR AJAY
3 MP7711 ANAESTHESIOLOGY SINGH 22/06/1981 General MALE 1132 Teachin
HURMALE

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