The password must have a minimum of 8 characters of numbers and letters, contain at least 1 capital letter
WhatsApp Number
Please enter your WhatsApp number to ensure proper communication
Registered Medical Council Name
Enter the name of Medical Council you registered
Medical Council Registration No.
Enter the registration number from the Medical Council. If you are a House Surgeon, please write your temporary registration number
Proof of Registration
Upload file
Drag file here or click the button.
.jpg,.png,.pdf,.jpeg
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Upload document to prove that you are a Doctor, (eg: Certificate from Medical Council)
