Registration Renewal Form
* Name :
* Father's Name :
* Mother's Name :
* Date of Birth :
* Aadhar No :
*Qualification :
* Registration No : in case of renewal
*Post Office :
*Whatsapp No :
Address :
* Email : :
City :
Pin Code / Zip Code :
* Mobile No : :
*Police Station :
* Message :
     
*Registration/Renewal fees remitted by RTGS/NEFT favouring Board of Electro Homoeopathic Medicine UP in Account No 32439631827 IFSC No sbin0009021
Copies of Certificates , Adhar card, Photograph and signature sending through WhatsApp No.7081624593, 9450791546