case of cessation of Kerala State Medical Councils, Redcross Road, Thiruvananthapuram 695035 Kerala, India Website:www.medicalcouncil.kerala.gov.in, Email:registrar.ksmc@kerala.gov.in, Phone:office-0471-2557227 േaco II രജ1േΒഷd സδş1a1Ù٨˘ (gൾ 37) Kerala State Council of Indian Systems of Medicine REGISTRATION CERTIFICATE Registration Number& Date of Registration PHOTO Name : Father/Guardian's Name : Date of Birth : Permanent Address : Qualifications : Year of completion of Internship : Name of the Medical College : Name of the University : QR CODE
case of cessation of Kerala State Medical Councils, Redcross Road, Thiruvananthapuram 695035 Kerala, India Website:www.medicalcouncil.kerala.gov.in, Email:registrar.ksmc@kerala.gov.in, Phone:office-0471-2557227 പരco1Úϗ േaco 1. പരco1ÙcരെɎ m1ъദcoъŅൾ: (p) േപര˘ : (ബ1) m1ലcസo: (സ1) േacൺ ന˅δ: (d) ഇെമയ1ൽ ഐv1: (ഇ) o1ര1Ŋ٨1യൽ കcδv˘ m1ъദcoъŅൾ: 2.പരco1നൽക1യ1gϗ േമcേvൺെമv1സ1d/ആ˖δേmദo/സ1ǿ/˖നcന1/ɧÖo1ച1ക1ǚ/േഹcമ1 േയcиo1 െമv1Ùൽ ɧcàീഷണϽെs m1ъദcoъŅൾ: (p)േപര˘ : (ബ1) m1ലcസo: (i) ന1ലm1െല m1ലcസo◌:- (ii) i1രo: േമൽ m1ലcസo : - (സ1) ɧദδъ1и1Úm േയcഗ5oകൾ:- (v1) േacൺ ന˅δ, pെȣŁ1go ഉെaŁ1ൽ:- (ഇ) ഇെമയ1ൽ ഐv1, pെȣŁ1go ഉെaŁ1ൽ:- (pa˘) സoicന രജ1േΒഷd ന˅δ:- 3. ആേരcപ1Ùെиgm െɧcaഷണൽ െപeമc٨ gഷ5oനsm oീയo1˖o mδഷyo:- 4. പരco1˖മcയ1 ബvെиş˘ പരco1Ùcരd മേ٨െoŁ1go േac٨െƿ സമീപ1Ŋ1gേac?