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Maharashtra Council of Homoeopathy, Mumbai: Application For Renewal / Restoration

Rohan Solunke is applying for renewal of his registration as a homeopathic practitioner. He completed his BHMS degree from K.D.M.H.M.C. Shirpur in May 2012 and did his internship from September 2012 to September 2013. He is providing his personal details like name, date of birth, address, contact information and qualification details in the application form for renewal of his registration number 62016 which is due to expire.

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0% found this document useful (0 votes)
652 views1 page

Maharashtra Council of Homoeopathy, Mumbai: Application For Renewal / Restoration

Rohan Solunke is applying for renewal of his registration as a homeopathic practitioner. He completed his BHMS degree from K.D.M.H.M.C. Shirpur in May 2012 and did his internship from September 2012 to September 2013. He is providing his personal details like name, date of birth, address, contact information and qualification details in the application form for renewal of his registration number 62016 which is due to expire.

Uploaded by

Rohan Solunke
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2/18/2020 Application Form

MAHARASHTRA COUNCIL OF HOMOEOPATHY, MUMBAI


235 PENINSULA HOUSE, 3RD FLOOR, DR. D.N. RD,Fort Mumbai - 400001 Phone Number 022-22704400/22703086

Application For Renewal / Restoration

Username : rohan28888 Application Print Date : 18/02/2020

Application No : 2007001846
Application Date : 18/02/2020
Amount : Rs. 1600.00/-

Registration No : 62016

First Name Middle Name Last Name


Applicant Name : Rohan Ravindra Solunke
Gender : Male Date Of Birth : 28/08/1988

Contact Details :
Permanent Address :
Address : Gat No.94/1, Plot No.21/a Khote Nagar,
District : JALGAON Taluka/City :
Pin No : 425001 Telephone No : 9420787391
Mobile No : 8424039181 Email Id : rohan.rinku@gmail.com

Qualification Details :
University : MUHS, NASHIK
College : K.D.M.H.M.C. SHIRPUR
Qualification : BHMS Exam Month-Year : May-2012
Internship Period : 08/09/2012 To 07/09/2013
PRN NO :0

I make this declaration solemnly,freely and upon my honour and agree to abide bythe declaration which is displayed on
the website in download form section.

Applicant's signature

https://www.mchmumbai.org/OnlineAppEntryReport.aspx?no=2007001846 1/1

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