APPLICATION FORM FOR RENEWAL OF REGISTRATION Name Father s Name Permanent Registration No. Professional/Correspondence Address Telephone/ Mobile No. Permanent Address To ATTESTED PHOTO PASTE HERE Photo attested by the Gazetted Officer /Governing Members PMC/ Former Governing The Registrar Punjab Medical Council S.C. O. No. 25 Phase-I S.A. S. Nagar Mohali -160 055. Sir I am registered with Punjab Medical Council vide Regd. No. dated It is requested that my registration may please be renewed...
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