Academic Qualification:

Sr. No. Degree/Diploma College/Institute Board/University Year % of Marks Rank/Position Attempt
1 SSC
2 HSC
3 Details of UG Entrance Examination
4 MBBS/BHMS/BDS
5 Master’s Degree
6 Other Certifications

Experience:

Sr. No. Designation Duration with period Institution Details
1
2

References:

Sr. No. Name Address Tel/Mobile No.
1
2

All the above information are true to my knowledge. If appointed, I am willing to abide by the rules and regulations of Bombay Hospital as existing at present and as may be modified from time to time.

Date : 24-01-2025