New Registration

Do you have Provisional registration number?

YesNo

Personal Information

First Name *

Dr.

Father's Name *

Surname *

Mother's Name*

Name as per degree certificate *

Dr.

Note: Full Name(as per appeared on DegreeCertificate) with Father Name& Last Name

Date of Birth*

Gender *

Category *

Nationality *

State of residence *

Aadhar Card Number *

Sector *

Employment Status *

Educational Qualification

Degree *

Date of Course Completion *

University Name*

University Enrollment Number

College Name*

Duration of Training -Year'sMonths

Are you already registered with any State Veterinary Council?

YesNo

Contact Details

Mobile No. *

Alternate Mobile Number

Email Id*

Alternate Email Id

Permanent Address

Permanent Address *

Landmark *

Taluka *

District *

State *

Pincode *

Is Correspondance Address same as Permanent Address?

Correspondance Address

Correspondance Address *

Landmark *

Taluka *

District *

State *

Pincode *

Working Address

Working Address *

Landmark *

Taluka *

District *

State *

Pincode *

Upload Documents

Upload Photo *i

Upload image file,less than 500 KB

Signature Of Applicant *

Upload image file,less than 500 KB

Degree Certificate *

Upload Only .pdf file,less than 5 MB

Transcript *

Upload Only .pdf file,less than 5 MB

Aadhar Card *

Upload Only .pdf file,less than 5 MB

Identity Proof *

Upload Only .pdf file,less than 5 MB

Proof of DOB*

Upload Only .pdf file,less than 5 MB

Proof of Domicile Certificate from any state of India *

Upload Only .pdf file,less than 5 MB

Is your Domicile Certificate issued from Maharashtra State? *

YesNo

Have you lost your original document? *

YesNo

Do you have an affidavit to upload?i

Note: Mandatory If First course completion date and Registration date is more than one year & renewal application is more than 5 year

YesNo

I agree to the Oath and Declaration

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