Section 1 of 1
Alumni Registration
Registration to the Confluence event is free. Personal details will not be revealed to public. The profile will be compiled in our website
Upload a clear passport size photograph in formal wear and other snaps of interest/ documents
Upload a clear passport size photograph in formal wear and other snaps of interest/ documents
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Add file
View folder
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1
5
10
Maximum file size
1 MB
10 MB
100 MB
1 GB
10 GB
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Name - Surname or Initials first. Do not add "Dr."
Name - Surname or Initials first. Do not add "Dr."
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First alumni to register from each batch/ decade will get a surprise gift. Which GMC Nagpur joining batch are you from?
First alumni to register from each batch/ decade will get a surprise gift. Which GMC Nagpur joining batch are you from?
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Current Postal address. Permanent residential address preferred.Please add the nearest landmark
Current Postal address. Permanent residential address preferred.Please add the nearest landmark
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City
City
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State
State
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Country
Country
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Pincode
Pincode
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Mobile Number. Add the whatsapp number if it is different
Mobile Number. Add the whatsapp number if it is different
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email id
email id
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Medical Speciality/Fellowship, Other qualifications
Medical Speciality/Fellowship, Other qualifications
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Gen Medicine
Gen Surgery
Gynaecology abd Obstetrics
Paediatrics
Anaesthetist
Orthopaedics
Cardiac Siences
Neuro Sciences
Urology
Nephrology
Non clinical
IAS
Military
ENT
Opthalmology
Other:
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Name of organisation presently working or owning
Name of organisation presently working or owning
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Present Role or the last held position
Present Role or the last held position
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Hospital owner
consultant
Dean
Vice chancellor
Associate professor
Postgraduate student
Other:
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Awards/Recognition
Awards/Recognition
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Special Mention . Hobbies or creative talent etc.
Special Mention . Hobbies or creative talent etc.
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Date of Birth
Date of Birth
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Wedding Anniversary
Wedding Anniversary
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