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House officer forms for April 2023
All Candidate shall submit the online information. if not submitted then the form will be rejected.
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Email
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I have read the rules and regulations mentioned in the advertisement Dated 28-3-2023. The information filled in the google form and Hard copy of application form is true and correct. My form is liable for rejection in case of wrong information is filled or some objections is raised by other applicants.
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Name of Candidate (In Block Letters)
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Your answer
Gender
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Male
Female
Date of Birth
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MM
/
DD
/
YYYY
Age (Years)
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Your answer
Complete Address
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Your answer
email
Your answer
Mobile Number
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Your answer
MBBS College Name
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Your answer
MBBS Passed From
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Government College (Maharshatra)
Private College (Maharashtra)
Deemed University (Maharashtra)
Out Side State College
Out Side India College
First MBBS Total Marks (Mention only marks)
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Your answer
First MBBS Attempt
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1
2
3
4
5
6
Second MBBS Total Marks (Mention only marks)
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Your answer
Second MBBS Attempt
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1
2
3
4
5
6
Third MBBS Minor Total Mark (Mention only marks)
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Your answer
Third MBBS Minor Attempt
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1
2
3
4
5
6
Third MBBS Major Total Marks (Mention only marks)
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Your answer
Third MBBS Major Attempt
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1
2
3
4
5
6
MMC/NMC Registration
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Yes
No
MMC Recent Renewal
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Yes
No
Are u a bonded candidate ? (Applicable for Govt College Students only)
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Yes
NO
NA
Bonded Candidate should submit Letter from Dean mentioning the bond details. (If this letter is not submitted, the candidate will be considered as non-Bonded (Applicable for Govt College Students only)
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No
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