KERALA STATE MEDICAL COUNCILS
(THE COUNCIL OF MODERN MEDICINE)
CERTIFICATE OF PROVISIONAL REGISTRATION
Registration No. : 84968
Name : MUNDA VALAPPIL MANOJ PRAKASH
Qualification : BACHELOR OF MEDICINE AND BACHELOR OF SURGERY
(EQUIVALENT TO M B B S IN INDIA),
(CHINA THREE GORGES UNIVERSITY,CHINA), 2024
Date Of Registration : 05-04-2025
Address : PARAVANTHATTA HOUSE, M M BAZAR, P O PANAPUZHA,
KANNUR, KERALA - 670306
This certificate is valid only for employment in a resident medical capacity in any approved
institution or in the Medical Service of the Armed Forces of the Union as mentioned in Section 25 of
the Indian Medical Council Act, 1956, as amended. This Certificate should be surrendered while
applying for final registration on completion of housemanship.
Digitally Signed By R SURESH BABU
Thiruvananthapuram
Date : 05-04-2025 05-04-2025 03:58 PM
SL No: 3420071 REGISTRAR
Note: 1. This certificate is valid for one year from the date of registration.
2. Authenticity of this certificate can be verified by scanning QR code and by comparing with Online
Verification Report.
3. This certificate is issued on the basis of affidavit submitted by the applicant for incomplete
verification for FMG applicants.
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