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To,

The Registrar,
Tamilnadu Medical Council,
No: 914, Poonamalle High Road,
Arumbakkam, Chennai

Sir,
I hereby certify that I personally know Doctor (full name) ………………………………………………………….

TNMC REGN No: …………………………… Aadhaar No: ………………………………………………………...

Residing at

………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………….

Mobile No: ……………………………………………………....... for more than 3 years.

Qualifications
Speciality College Universities
Registered in TNMC

MBBS

Diploma

MS / MD

DM/M.Ch

Foreign PG Degrees

Foreign PG Degrees

Foreign PG Degrees

He obtained his qualifications in the following institutions.

Signature of the applicant Signature of RMP with seal

TNMC Registration Number……………………………


Mobile Number…………………………………………..

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