JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Course Registration Simulation Lab- DMIHER
Please submit your personal detail regarding the course you are interested. Feel free to connect with us: selsc@dmiher.edu.in Mob: +91 7020354669
* Indicates required question
DMIHER-Simulation lab: Registration for NBEMS Courses.
Name
*
Your answer
Contact Mobile
*
Your answer
Specialization & Branch
*
Your answer
Name of Institute Currently Associated
Your answer
Professional Enrollment Number
*
Your answer
Any other detail you wish to share
Your answer
You need to submit Medical Registration Certificates & Enrollment Card of NBEMS later.
*
Available
Not Available
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of DMIHER.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report
