Alternative medicine board of india

Study Centre Registeration

Institute Information

Name of the Institute *

Year of Establishment *

Postal Address of the Institute *

Pin Code *

City / Town / Village

State Name & District Name *

Date.Of.Registration * (dd/Mon/yyyy)

Mobile *

Whats App Number *

Email *

Information About Centre Head

Name of the Centre Head *

Designing / Position Hold *

State *

District *

Postal Address of the Centre Head *

Date Of Birth*

Pin Code & Mobile Number *

Email & Date of Birth of the Centre Head *

Whats App Number *

Gender *

Educational Qualification of the Centre Head *

Experience of the Centre Head *

Marital Status & Religion of the Centre Head *

Upload Documents

Colour Passport Size Photograph of the Head *
(Only JPG,JPEG,PNG File Upload)

Colour Photograph of Lab Room *
(Only JPG,JPEG,PNG File Upload)

Declaration

* I read the Terms & Conditions