Get Wbmc

Filling out the West Bengal Medical Council (Wbmc) declaration form for a duplicate provisional registration certificate can be straightforward with the right guidance. This comprehensive guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the Wbmc declaration form.

1. Click 'Get Form' button to access the Wbmc declaration form. This action allows you to obtain the form and open it in your preferred online format.
2. Enter your full name in the designated field. Ensure that it matches the name on your original provisional registration certificate.
3. Specify the name of the hospital where you completed your internship training in the appropriate section.
4. Indicate the start and end dates of your internship training accurately in the specified fields.
5. Describe the circumstances under which you lost your provisional registration certificate. Be clear and concise in your statement.
6. Provide your provisional registration number in the designated space.
7. Sign the declaration affirming that you are the same person who obtained the original certificate and that you will return the duplicate if the original is found.
8. Fill in your address as required in the form.
9. Affix your color photograph in the designated space on the form, ensuring that it is duly signed on the front and attested.
10. The form must be counter-signed by the Principal or Secretary of the medical college where you are doing your internship. Ensure that they fill out their details accurately and provide their signature.
11. Gather all required documents, including a copy of your degree, original documents for verification, and the general diary or FIR regarding the loss of the certificate.
12. Submit the form along with the prescribed fee of Rs. 400. You can make this payment in cash or via demand draft made out to the West Bengal Medical Council.
13. Once submitted, you will have the option to save your changes, download, print, or share the filled-out form for your records.

Start completing your Wbmc declaration form online today!