Application for Renewal Of Registration   with the
Maharashtra Medical Council, Mumbai
Application No :  MMC20240015804 Date : 02/04/2024
To,
Registrar ,
Maharashtra Medical Council ,
189/A, Anand Complex, 2nd Floor,
Sane Guruji Marg, Arthur Road Naka,
Chinchpokali (W), Mumbai - 400 011.
 
Sub: Dr  (Smt/Shri)  DESAI ROHIT SURESH
Registration No:  2014030957   Registration Date : 28/03/2014   Valid upto Date :28/03/2029
Sir,
I the undersigned applicant, request yoy that my name may be continued on the Register of Medical Practitioners maintained by the Maharashtra Medical Council as per 23 (a)/23 (c) of MMC Act 1965 and amendment 2003. My particulars are as Follows :
Name of Applicant : Mr. DESAI ROHIT SURESH
Name of Father : Mr. DESAI SURESH GANAPATI
Name of Mother : Mrs. DESAI SINDHU SURESH
In Case of Married Women
Maiden Name : -

RESEDENTIAL ADDRESS : GANGA NURSING HOME, A/P-ARAG, TAL-MIRAJ, DIST-SANGLI .
City : MIRAJ District : SANGLI
State : MAHARASHTRA Country : INDIA
Pincode : 416401
Date of birth : 29/04/1990 Tel No (Res) : Clinic No :
Mobile No : 9595707799 Email Id : rohitdesai9595@gmail.com  
Total Obtained Credits Points : 56
Remaining Credits Points : 0
Qualification Details
 Details of QualificationName of CollegeUniversityPassing YearCertificate NoCertificate Date
1.M.B.B.S.BHARATI VIDYAPEETH DEEMED UNIVERSITY MEDICAL COLLEGE & HOSPITAL, SANGLIBHARATI VIDYAPEETH DEEMED UNIVERSITY, PUNE2014  
2.M.S.(Genl. Surg.)BHARATI VIDYAPEETH DEEMED UNIVERSITY MEDICAL COLLEGE & HOSPITAL, SANGLIBHARATI VIDYAPEETH DEEMED UNIVERSITY, PUNE20200776/202112/02/2021
Pariticulars Of Payment
Payment Mode : Online Payment
Receipt No : 202409382879640
Receipt Date : 03/04/2024
   I have uploaded following documents:
1.Latest Passport size Photograph
DECLARATION (Registered Medical Practitioner)
I shall abide by the Code of medical Ethics as enunciated in the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002.
Date : 02/04/2024
    Applicant signature               


NOTE:- You do not need to submit the print out of original submitted Renewal Application form to MMC office.