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Registration Form
   
* fields are mandatory
  * Name (In Full) * Your Email ID (Username)
  * Qualification * Password
  * College you have studied ( MBBS) * Confirm Password
  * Year of Passing      
           
    Present Address   Permanent Address
    Location * Location
  * Pin code   Pin code
    Phone(with Code)   Phone(with Code)
  * Mobile   Mobile
    Email Address   Email Address
           
    Whether Married or not   photo
    If yes, Name of spouse      
    Occupation of spouse