Guidelines to fill the form

1. During the registration process, the details for the greyed out fields, were provided
to us. The information you provide here will be considered, and it will overwrite the
information provided earlier..
2. All the data provided in this form will be available to you in your profile section of
the CureEZ Doctor App. You will be able to modify it through the App.
3. Details in blue font are not mandatory, but good to have. This data will help
highlight your profile.

Onboarding details for

Partner Doctors
Sl
no. Attribute Details

Basic Information
1 Name V.Sai Arun Rao
2 Registration number TSMC/FMR/16156
3 Medical Council Telangana State Medical Council
4 Speciality MBBS
Kauvery Multispeciality Hospital
5 Clinic/Hospital/Practice Name Bengaluru
6 Email saiarun2930@gmail.com
7 Mobile number 7386093367
8 alternate phone number
9 Year of birth 1995
10 Gender Male
11 Qualification MBBS
12 Languages Spoken Telugu, Hindi, English
13 Practicing since year 2020
14 Profile Photo ( attach is to email)
Graduated in 2019 ,have experience
from osmania medical hospital ,ICU
15 About Me ( max 200 words) and emergency department

16 Please provide the address for communication

 1. Clinic name (if applicable)
2. Building/flat/house number and Name Crown Orchid apartment,
3. Street number and street name. Chandapura Road, Bengaluru,560081
City, State, PIN code

17 What would be your Consultation fee?

Audio 250
video 350
Physical ( for future purpose only )

Please provide Banking details where you

18 consulting charges would be credited to.
Bank Name AXIS BANK
Bank Location Bommasandra ,bengaluru
Branch IFSC code UTIB0004492
account number 921010013837841
Name VELPULA SAI ARUN RAO

What are the online consultation time slots

19 convenient to you?
opening time 8am
closing time 11pm
lunch/other break from
lunch/other break to
consultation Slot duration (15/30/45/60
minutes)
non-working Day of week

Please tell us about your presence in the Digital

Media especially in following socail media
channels . Please provide the details or type
20 "No" if you do't have it.
Do you have a personalized email id ( i.e. not a
Gmail. Yahoo, Hotmail etc email) No
your own website No
professional Facebook URL NO
professional Instagram URL No
LinkedIn address No
professional twitter handle No
other doctor networks No
 Please tell us about your other professional
achievements that you will like the users to
21 know about,
Awards
Publications and events
Endorsements and prizes
1 year experience as senior house
Fellowships officer in cardiac ICU
Registrations and accreditations Telangana state medical council,
Duty Doctor at Emergency
Anything else you will like the users to know? department