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Tion, each applicant shall be given a copy of the following declaration by the Registrar concerned and the applicant shall read and agree to abide by the same:- 1.) I solemnly pledge myself to consecrate my life to service of humanity. 2.) Even under threat, I will not use any medical knowledge contrary to the laws of Humanity. 3.) I will maintain the utmost respect for human life from the time conception. 4.) I will not permit considerations of religion, nationality, race, party politics or so.

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Follow the steps to complete your registration form smoothly.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. Begin filling out the form with your full name in block letters. Ensure that this matches the name on your identification documents.
  3. Provide your father's name accurately, as it may be required for verification purposes.
  4. Enter your date of birth using the proof provided. This is essential for confirming your identity.
  5. Indicate your nationality clearly, as this information may be crucial for the registration process.
  6. Fill in your postal address for permanent residence. Ensure accuracy to avoid any issues in communication.
  7. Complete the correspondence address section, providing details if different from your permanent address.
  8. Input your mobile number and email address to facilitate easy communication regarding your application.
  9. List all medical qualifications for which registration is required in the designated field.
  10. State the university or institution where you obtained your medical qualifications.
  11. Provide the year of passing for each degree or diploma listed.
  12. If applicable, disclose any matter or incident that might adversely reflect on your previous character and conduct in the specified section.
  13. Review the declaration section, acknowledging your commitment to ethical practice in the medical profession.
  14. Affix your signature, along with your name, place, and date at the designated spaces.
  15. Provide the required documents as specified, including attested copies of your marks certificates, degree, identification proof, and any necessary affidavits.
  16. Once your form is complete, save your changes and download a copy for your records. You may also choose to print or share the form as needed.

Get started with your online registration by following these steps to ensure a smooth process.

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Required Documents[edit] Completed Application form. Attested copy of MBBS Registration Certificate. Additional Qualification Registration Certificate. Two testimonials from gazette officer. Acknowledgement form. Recommendation of State medical council. Medical college ID Proof.

LIST OF STATE MEDICAL COUNCIL AND CONTACT DETAILS S. No.State/UT NameRegistrar of the State Medical Council1HARYANADr. Sandeep ChhabraOff: 0172-2520165Mobile: 8168210446Email: drsandy75@gmail.com

Self-attested copy of Aadhar Card /Pan Card/ Passport/ driving License/ Govt. ID. Check list for Permanent Registration (who have already registered Permanently with other State Medical Council)/document to be Submitted in Haryana Medical Council office.

1. The application will be made online through MP Online portal or through Public Service Centre / Kiosk. 2. Candidate has to create their user profile/account on Madhya Pradesh Medical Council (mponline.gov.in) for the registration process and the candidate should submit the application through his user profile only.

Password must be alpha-numeric e.g pass1234. First Name* Middle Name. Last Name. Father's Name * Contact No. * Date of birth* Email* Password*

Password must be alpha-numeric e.g pass1234. First Name* Middle Name. Last Name. Father's Name * Contact No. * Date of birth* Email* Password*

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