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Apply For Physical Verification

Apply For Physical Verification

1. Your Name (संपूर्ण नाव लिहा)

2. Mother Name (आईचे नाव लिहा)

3. Mobile No (संपर्क क्रमांक)

4. Email ID (ई मेल )

5. Date Of Birth (जन्म तारीख)

6. Temporary Address (पत्ता)

7. Permanent Address (कायमचा पत्ता)

8. Clinic / Hospital Address ( क्लिनिकचा पत्ता )

9. Collage Name & City (महाविध्यालायाचे नाव व पत्ता)

10. Internship / Training Details

A) Select Internship Start Date

B) Select Internship End on

1. Upload Your ADHAR Both Side (पूर्ण आधार जोडा)

2. Upload Your Photo ID Document (ओळख-पत्र जोडा)

3. Uploaded Photo ID Document (ओळखपत्र कोणते जोडले आहे ते निवडा)

1) PAN CARD 2) Voter ID 3) Driving Licence

4. Upload Your Passport Photo (Size: 2 X 2 Inch) (पासपोर्ट फोटो जोडा)

5. Upload Your Live Full Size Photo (स्वत: चा उभे असलेला पूर्ण फोटो उपलोड करा )

6. Upload Your 1st Year Mark sheet (प्रथम वर्ष गुणपत्रिका )

7. Upload Your 2nd Year Mark sheet (द्वितिय वर्ष गुणपत्रिका )

8. Upload Your 3rd Year Mark sheet (तृतीय वर्ष गुणपत्रिका )

9. Upload Your Degree & Registration Certificate (पदवी / नोंदणी प्रमाणपत्र जोडा)

10. Upload Internship and Training Certificate ( इंटर्नशिप पूर्ण केलेले प्रमाणपत्र जोडा )

11. Upload Your Previous ID Card / Renewal Card ( Both Side) (आधिचे ओळखपत्र जोडा)

12. Additional Documents Uploads

1) C.M.S & E.D (AM) 2) M.D (AM) 3) D.A.M.S (AM) 4) Other 5) Not Available

13. Upload Your Additional Documentations & Certificates (ईतर कागदपत्र जोडा)

Self Deceleration / Undertaking

It is declare that each filled or given information and content of this delectation and / or Documents, Certificates submitted along with Declaration form, by the under-checked tick mark are absolutely true, correct and authentic. In the Event of any statement made in this declaration subsequently turning out to be incorrect or false the undersigned or this declaration has understood and accepted that such misconduct thereby rendering the undersigned liable for necessary disciplinary action (including removal of his name from Maharashtra Council of Alternative Medicine).

Documents & Physical Verification Application Fee

Application fee for Documents & physical Verification is Rs 2000. this is One time Non refundable Amount.