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    Dr. Rohit Malde is applying for registration as a radiation professional with the Atomic Energy Regulatory Board. He has over 15 years of experience in radiotherapy and currently works as a radiation oncologist. He completed his MBBS in 2000 from Terna Medical College, his MD and DNB in radiotherapy from Tata Memorial Hospital in 2003, and his FRCR from the Royal College of London in 2011. He is seeking registration to continue his work in radiotherapy in India.

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    The Internation Association of Blind invites for Gyroscopic Analysis of the Analytics

    Original Title

    Application Analytics Gyroscopy

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    Dr. Rohit Malde is applying for registration as a radiation professional with the Atomic Energy Regulatory Board. He has over 15 years of experience in radiotherapy and currently works as a radiation oncologist. He completed his MBBS in 2000 from Terna Medical College, his MD and DNB in radiotherapy from Tata Memorial Hospital in 2003, and his FRCR from the Royal College of London in 2011. He is seeking registration to continue his work in radiotherapy in India.

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    4 views2 pages

    Application Analytics Gyros

    Uploaded by

    Obama
    Dr. Rohit Malde is applying for registration as a radiation professional with the Atomic Energy Regulatory Board. He has over 15 years of experience in radiotherapy and currently works as a radiation oncologist. He completed his MBBS in 2000 from Terna Medical College, his MD and DNB in radiotherapy from Tata Memorial Hospital in 2003, and his FRCR from the Royal College of London in 2011. He is seeking registration to continue his work in radiotherapy in India.

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    of 2

    Application Number: RPR-15-19135(17/06/2015)

    Note:

    1. This form may be kept for future reference only.

    APPLICATION TO ATOMIC ENERGY REGULATORY BOARD (AERB) FOR REGISTRATION OF


    RADIATION PROFESSIONAL

    Application Number
    Date of Application

    : RPR-15-19135
    : 17/06/2015

    Personal Details:
    Name
    Date Of Birth
    Practice
    Professional Role
    Gender
    Identification Type
    Identification No.
    Aadhar No.

    :
    :
    :
    :
    :
    :
    :
    :

    Dr. ROHIT MALDE


    18/03/1976
    Radiotherapy
    Radiation Oncologist
    Male
    PAN card issued by Income Tax Department
    AIAPM7331E

    Residential Address:
    Residential Address

    : D1002, NIHARIKA BLDG, KANAKIA SPACES OPP


    LOKPURAM TEMPLE, GLADYS ALWARES ROAD
    : OFF POKHRAN RD NO 2
    : Maharashtra
    : Thane
    : 400610

    Landmark
    State
    City/District
    PIN
    Permanent Address:
    Permanent Address

    : D1002, NIHARIKA BLDG, KANAKIA SPACES OPP


    LOKPURAM TEMPLE, GLADYS ALWARES ROAD.
    : OFF POKHRAN RD NO 2
    : Maharashtra
    : Thane
    : 400610

    Landmark
    State
    City/District
    PIN
    Contact Details:
    PhoneNo(R)
    MobileNo (Permanent)
    Email (Permanent)

    : : 9619503824
    : rohitmalde@gmail.com

    Basic Education Details:


    Course Name

    Year Of Passing

    Institution Name

    Board/University

    M.B.B.S

    2000

    Terna Medical
    College

    University of Mumbai Medicine

    Page 1 of 2

    Subjects

    Application Number: RPR-15-19135(17/06/2015)


    Professional Education Details:
    Course Name

    Year Of Passing

    Institution Name

    Board/University

    Subjects

    M.D. (Radiotherapy)

    2003

    Tata Memorial
    Hospital

    University of Mumbai Radiotherapy

    DNB (Radiotherapy)

    2003

    Tata Memorial
    Hospital

    University of Mumbai Radiotherapy

    FRCR (UK)

    2011

    Royal College of
    London

    Royal College of
    Radiologists and
    Clinical Oncologists

    Clinical Oncology

    Internship/Experience Details:
    Category

    Role

    Institution Name

    Start Date

    End Date

    Internship

    Registrar

    Tata Memorial
    Hospital

    04/03/2013

    27/02/2015

    Attachment Description

    File Name

    Your Photograph

    Rohit.jpg

    Proof of Identity and Date Of Birth

    pancard.jpg

    M.B.B.S

    MBBS Certificate.jpg

    M.D. (Radiotherapy)

    Education_1c_MD Radiotherapy.jpg

    DNB (Radiotherapy)

    Education_1e_Certificate_DNB Radiotherapy.jpg

    Internship

    sks letter.jpg

    Others

    Education_1f_FRCR Certificate.jpg

    I hereby undertake that all the particulars provided in the application are correct to the best of my knowledge and
    belief.

    Page 2 of 2

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