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 : drramasrey@[Link]
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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