Application for updating the details of Radiation Professional (RP) in eLORA

1. Provide the reason for submission of the application in the box Affix Self
attested
photograph

2. Name:

3. Date of Birth:

4. RP Registration Number:

5. Residential Address:

City: State:

6. Provide Name & place of the institute to which the RP is associated with

(a) Institution:

(b) City/Town:

7. e-mail id(#):

8. Mobile Number:

9. The following qualifying certificates are attached

(a) Copy of Matriculation Certificate: 

(b) Copy of Professional Qualification certificate: 
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(#) The above email id will be registered in eLORA.
- After update of email id, in eLORA log-in portal use “user id” and click “forgot password” so that password
can be sent to your email account.
- Application will be processed normally within 20 days after successful submission.
 10. Any two of the following (self-attested) identity proofs are attached:-

(a) Copy of Aadhar Card: 

(b) Copy of Election Card: 
(c) Copy of Driving Licence: 
(d) Copy of 1st page of Bank Passbook: 
(e) Copy of PAN card 
(f) Copy of Passport 

Place:

Date: (Signature of Applicant)

Attach all the above-mentioned documents along with this application form, ensuring clear visibility, in
a single PDF, and send them to elora.info@aerb.gov.in with the subject RP details updation