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RAJASTHAN BOARD OF HOMOEOPATHIC MEDICINE

 

 

(A corporate body established and constituted under the provisions of

 

 

The Rajasthan Homoeopathic Medicine Act 1969.)

 

 

 

 

 

 

Form 7A

Form 7AA

Form for Provisional Registration

From for Additional Qualification

From for obtaining Degree / Diploma

Submit the Following Registration Information along with recent passport size photograph by post to update your record :

Registration Number

Date of Registration

Renewed Up to

 

 

 

 

Name:

 

Father's Name

 

 

 

Address :

Present

Permanent

House Number / Name:

Road / Street Name:

City :

District:

State:

Pin:

 

House Number / Name:

Road / Street Name:

City :

District:

State:

Pin:

 

 

Phone:

Residence

Office

Mobile

 

 

 

 

e-mail address:

 

 

Registration Information

(Enter your Registration Number)

Registration Number

Date of Registration

Renewed Up to

 

 

 

 

Name:

 

Father's Name:

 

Address:

 

 

 

 

 

 

 

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