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  • Haryana Medical Council Registration Affidavit

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AFFIDAVIT FOR PROVISIONAL REGISTRATION (FOR MBBS GRADUATE OUT OF HARYANA) Affidavit of, S/o Sh. , aged years, R/o I, the above named deponent, do hereby solemnly affirm and declare as under :1. That.

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Self-attested copy of Aadhar Card /Pan Card/ Passport/ driving License/ Govt. ID. Check list for Permanent Registration (who have already registered Permanently with other State Medical Council)/document to be Submitted in Haryana Medical Council office.

Self-attested copy of Aadhar Card /Pan Card/ Passport/ driving License/ Govt. ID. Check list for Permanent Registration (who have already registered Permanently with other State Medical Council)/document to be Submitted in Haryana Medical Council office.

LIST OF STATE MEDICAL COUNCIL AND CONTACT DETAILS S. No.State/UT NameRegistrar of the State Medical Council1HARYANADr. Sandeep ChhabraOff: 0172-2520165Mobile: 8168210446Email: drsandy75@gmail.com

Required Documents[edit] Completed Application form. Attested copy of MBBS Registration Certificate. Additional Qualification Registration Certificate. Two testimonials from gazette officer. Acknowledgement form. Recommendation of State medical council. Medical college ID Proof.

5. Registration number if available: (Name of the State Medical Council) Address: Residential Page 2 HARYANA MEDICAL COUNCIL SCO-410, 2nd floor, Sector – 20, Panchkula, Haryana – 134116 Email – registrarhmc@gmail.com, Office – 0172 – 2520165 Clinic/Hospital: Pin code: Tel. No.

The registration fee is not refundable whether the registration form is accepted or rejected. 2.) The provisional certificate is valid only for completion of internship for one year from the date of passing of MBBS examination and it will not be used for any other purpose.

Password must be alpha-numeric e.g pass1234. First Name* Middle Name. Last Name. Father's Name * Contact No. * Date of birth* Email* Password*

LIST OF STATE MEDICAL COUNCIL AND CONTACT DETAILS S. No.State/UT NameRegistrar of the State Medical Council1HARYANADr. Sandeep ChhabraOff: 0172-2520165Mobile: 8168210446Email: drsandy75@gmail.com

Medical Council within one month from the date of submission of application online. - In case of Online Payment Verification of documents will be done only after realisation of payment from Bank or after 2 working days from the date of transaction.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232