Application From

Have you undergone training in “Basic Course Workshop” at MCI Regional Centre in MET or in your college under Regional Centre observership?

If yes, give details

Education Qualifications

MBBS / PG / Any Diploma / College / University /Year of Passing / Registration No / Name of the State Medical Council

Details of Research publications

* Note : Have you been considered in any UG / PG inspection at any other institution / medical college during the last 3 years. If yes please give details of the same.