Applicant'S Copy: Additional Course Detail

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9/23/2020

APPLICANT'S COPY
ENROLLMENT FOR ADDITIONAL ON-LINE REGISTRATION

UTTAR PRADESH MEDICAL COUNCIL, LUCKNOW

Reference NO. = 2044231396ADD Apply Date = 23/09/2020

Name : ASREY RAM

Mother's Name : SMT SURSATI DEVI

Father's Name : BIRNEY PRASAD

Gender : MALE

Date of Birth : 15/01/1959

Mobile No. : 9415120985

Email Id : [email protected]

Aadhaar No. : 464280462114

Address : CMO OFFICE SULTANPUR, AMHAT ,SULTANPUR

Fee Details : 4dbea860830c6711d7622044231396ADD/1500/23/09/2020

Permanent No. : 31569

Permanent Generated Date : 16/01/1988

Additional Course Detail


BUNDELKHAND
M.D.
Course UNIVERSITY UNIVERSITY,
(ANAESTHESIOLOGY)
JHANSI
M.L.B. MEDICAL
CENTER YEAR OF JOINING July - 1989
COLLEGE, JHANSI
YEAR OF PASSING June - 1991 ROLL NO 3

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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