Accreditation Application Form
Help : Compress Image File Instructions  * Mandatory field
Attachments :(Please Upload only with Extension .bmp, .gif, .png, .jpg, .jpeg, .doc , .docx, .pdf and  upto 100 kb only.)
Name of Organization/ Association /Institute * Organization Type *
Branch * Parent Organization *
   
Organization/ Association /Institute Address * City
District State
Country Pin No *
Telephone No.(office) Fax No (Office)
Email ID (Office) * PAN Card Number
Report of Last Audit(Upload Scanned audited report)   CMEs/Conferences held in last one year   *
MCI/DNB Recognition Letter(Mandatory for Teaching Institutes)  
Name of President/Dean * Mobile Number of President/Dean *
Name of Secretary/Registrar * Mobile Number of Secretary/Registrar *
Name of Bank Account Type
Branch Name Account Number
Any Other Details
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