PROFORMA-1 CF Sr. No.
MPMC 31611
MADHYA PRADESH MEDICAL COUNCIL
(F-7-8, Sanchi Complex, Opposite Board Office Bhopal Madhya Pradesh (INDIA)- 462016)
Certificate of Provisional Registration
(As Required u/s25 - of the Indian Medical Council Act, 1956)
Provisional Registration No. : 12596/2024
This is to Certify that : KRISHNA SHARMA
D/o Mr. : SUNIL SHARMA
Residing in : G-4 312 NEW RADIO QUATERS BHADBHADA ROAD BHOPAL City:-
BHOPAL District- BHOPAL Pin Code- 462003
having passed the qualifying final : MBBS examination held in : February/2024
from: LNCT University ,Bhopal
through : L.N. Medical College and Research Centre, Bhopal
has been provisionally registered under the provisions laid down in section-11 (3) of the
Madhya Pradesh Ayurvigyan Parishad, Adhiniyam 1987 (M.P. Act. No. 11 of 1990)
In witness thereof herewith affixed the seal of the Madhya Pradesh Medical
Council, Bhopal and the signature of the Registrar.
Subject to the provisions of the said Act, this certificate is valid only for one
year or till the date of completion of the Compulsory Rotating Internship Training
whichever is earlier and for the purpose of enabling him/her to be engaged in
employment in a Resident Medical Capacity in any approved Institution, or in the medical
service of the Armed Forces of the Union and for no other purpose (i.e. Internees are not
authorized to carry on Private Practice and issue the Medical Certificate)
Remark : -
Digitally Signed By Rajendra Kumar Nigam
(Personal)
REGISTRAR
Date : 28-Jun-2024 11:07:12 IST
MADHYA PRADESH MEDICAL COUNCIL
Bhopal, Dated : 11/06/2024
BHOPAL
IMPORTANT NOTICE - Note:- This Provisional Registration Certificate will have to be deposited in original with the
Registrar Madhya Pradesh Medical Council, Bhopal for getting Permanent Registration.