Online Registration for Residency Program Phase-B (Direct Admission) / Fellowship / PhD / Foreigner

Program Type :

Session Name :

Full Name :

Gender :

Male Female

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Passport No :

Passport valid till :

Visa No :

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Basic Medical Degree :

Faculty Name :

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Name of Discipline :

Institute Name :

Bank Scroll No :

Money Deposit Date :

Name of the Branch :

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