Para Medical Council Punjab

Para Medical Council (Pb.) Mohali

AN ISO CERTIFIED COUNCIL
Promoting Para Medical, Para Veterinary, Para Dental
& Vocational Education In India

 

PARAMEDICAL COUNCIL (PUNJAB) MOHALI

Application for Registration of Para Medical Personnels

1. Name & Address of         ____________________________________________________
The Application                   ____________________________________________________
                                            ____________________________________________________
Landline No.                        ____________________________________________________
Mob. No.                             ____________________________________________________
E-mail                                 ____________________________________________________
Fax                                      ____________________________________________________
2. Address to which            ____________________________________________________
Communication                   ____________________________________________________
are to be sent                     ____________________________________________________
3. Date of Birth                   ____________________________________________________
4. Nationallity                     ____________________________________________________
5. Sex                                  ____________________________________________________
6. Father's Name                 ____________________________________________________
7. Official Address               ____________________________________________________
                                            ____________________________________________________
                                            ____________________________________________________
8. Educational Qualification ____________________________________________________
9. Experience                        ____________________________________________________
10. Details of Remittance of
Registration Fee                  ____________________________________________________
Date and No. of receipt or
D.D No.& Date                      ____________________________________________________

 

Instructions

1. Registration will not be allowed if the diploma course were issued form institution not affiliated by the Para Medical Council (Pb) Mohali.
2. Registration fee will not be refundable at any reason.

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