Sevati ™
Applications
Franchise Registartion For
Doctor
Consultant
DMC
Hospital
Laboratory
Ambulance
Chemist
User info
1. Basic Info
Education info
2. Education info
Address And Location
3. Address And Location
Bank Accounts
3. Bank Accounts
Documents
3. Documents
Confirmation
6. Confirmation
First Name*
Age
MCI Number*
Experience (in years)*
Password
Last Name*
Gender*
Email Address*
Highest Qualification
Confirm Password
Date of Birth
Mobile Number
Aadhaar Number
PAN Number
Specialisation:*
Allergy and Immunology
Anesthesiology
Cardiology
Cardiothoracic Surgery
Clinical Genetics
Dermatology
Emergency Medicine
Endocrinology
Family Medicine
Gastroenterology
General Surgery
Geriatrics
Hematology
Infectious Diseases
Internal Medicine
Medical Oncology
Nephrology
Neurology
Neurosurgery
Obstetrics and Gynecology
Oncology
Ophthalmology
Orthopedic Surgery
Otolaryngology (ENT)
Palliative Care
Pediatrics
Physical Medicine and Rehabilitation
Plastic Surgery
Psychiatry
Pulmonology
Radiology
Rheumatology
Surgical Oncology
Urology
Vascular Surgery
Medical Council
National Medical Commission (NMC)
Delhi Medical Council (DMC)
Maharashtra Medical Council (MMC)
Tamil Nadu Medical Council (TNMC)
Karnataka Medical Council (KMC)
West Bengal Medical Council (WBMC)
Andhra Pradesh Medical Council (APMC)
Bihar Medical Council (BMC)
Chhattisgarh Medical Council (CGMC)
Goa Medical Council (GMC)
Gujarat Medical Council (GMC)
Haryana Medical Council (HMC)
Himachal Pradesh Medical Council (HPMC)
Jharkhand Medical Council (JMC)
Travancore-Cochin Medical Council (TCMC)
Ladakh Medical Council (LMC)
Lakshadweep Medical Council (LMC)
Madhya Pradesh Medical Council (MPMC)
Manipur Medical Council (MMC)
Meghalaya Medical Council (MMC)
Mizoram Medical Council (MMC)
Nagaland Medical Council (NMC)
Odisha Medical Council (OMC)
Puducherry Medical Council (PMC)
Punjab Medical Council (PMC)
Rajasthan Medical Council (RMC)
Sikkim Medical Council (SMC)
Tripura Medical Council (TMC)
Uttar Pradesh Medical Council (UPMC)
Uttarakhand Medical Council (UMC)
Andaman and Nicobar Islands Medical Council (ANMC)
Arunachal Pradesh Medical Council (APMC)
Dadra and Nagar Haveli and Daman and Diu Medical Council (DNHDDMC)
Jammu and Kashmir Medical Council (JKMC)
UG College
PG College
Diploma
Additional Qualifications
Registration Number
University (UG)
University (PG)
Board
School Leaving Certificate
Senior Secondary School
Passport Number
Passport Expiry Date
Driving Licence Number
Permanent Residence Address*
Current Residence Address
Clinic Address or Any Other
Spouse Name
Parent Name
Reference 1: Name
Reference 2: Name
Reference 3: Name
Spouse Contact
Parents Contact
Reference 1: Contact
Reference 2: Contact
Reference 3: Contact
Spouse Aadhaar
Parents Aadhaar
Account Holder Name
Account Number
IFSC Code
Bank Name
Add
Remove
10th Class*
File 1
No file chosen
12th Class*
File 2
No file chosen
Graduation*
File 3
No file chosen
Post Graduation
File 4
No file chosen
Any Other Qualifications
File 5
No file chosen
All Experience Certificates
File 6
No file chosen
PAN Card
Upload PAN Card
No file chosen
Aadhar Card
Upload Aadhar Card
No file chosen
Driving License
Upload Driving License
No file chosen
Passport
Upload Passport
No file chosen
MCI Registration
Upload MCI Registration
No file chosen
Previous
Validate & Save
Next