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

    MD(Homoeo)PhDOthers

    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



    Awards

    other interests pursued after passing SSRHMC

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