Alumni Registration

Year of Admission

Name (as per the certificate)
Council registration details

Date of birth
Address permanent

Clinic Address
Official Address
Year of passing (UG) final year
Higher Education
PG details

Professional details
Own ClinicGovt / pvt Homoeo hospitalOthers (specify)

Academic Involvement / Employment
Own ClinicGovt / pvt Homoeo hospitalOthers (specify)

Community activities if any
Research carried out (if any state details)
No of Presentations done

other interests pursued after passing SSRHMC

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