KARNATAKA MEDICAL COUNCIL
No.16/6,2nd Floor,Miller Tank Bed Area, Vasanthnagar, BENGALURU-560052 Fax:080-
                                           22200300 Email:medi_council@yahoo.co.in
                                                      PhoneNo:080-22200888
                                           Website:www.Karnatakamedicalcouncil.com
                                       Receipt
   Receipt No: 202507647                                            Date: 05/23/2025
  Received with thank from
   Rs:
                 (Rupees: only.)
3540.00
   D.D.No.                                                   D.D.Date
  drawn on Bank,on account of
  Registration No.                  KMC GST      No. 29AAALK0069K1ZV
                                              Particulars                                 Rs.
                     1. Additional Qualification Fee/Per Subject
                     2. C.T.Form Fee
                     3. Certified Testimonials
                     4. Change of Name Fee
                     5. Duplicate Copy
                     6. Edit Good Standing Certificate from KMC
                     7. FMG Registration
                     8. GOOD STANDING CERTIFICATE
                     9. Good Standing Certificate from MCI
                     10. Good Standing Certificate with out courier
                     11. House Verification
                     12. In lieu Fee(Other State)
                     13. Late Registration Fee/per year
                     14. miscellaneous
                     15. NOC For P.R.C.
                     16. noc without courier
                     17. Permanent Registration Fee
                     18. Permanent Registration fee for Out side state
                     Doctors
                     19. Provisional Registration Fee
                     20. Re Registration
                     21. Registration Fee
                     22. Renewal After 30Th June
                     23. RENEWAL AFTER 31ST DECEMBER
                     24. Renewal Fee
                     25. Renewal With Penalty
                     26. Restoration of Erased Name
                     27. SMART CARD FEES
                     28. TemproraryRegistration
                     29. True Copy of PRC Fee
                     30. VERIFICATION OF KMC REGISTRATION
                     CERTIFICATE
                      Total Tax (C.GST @9% and S.GST @9%)                                 540
                                            Total Fee Amount (including GST)             3540.00
  Signature of the applicant                                Signature of the Registrar