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Department of Medical Education, M.P.

All the information will be used in pro-rata preparation, therefore candidate should make sure that all information/documents should be submitted carefully. No additional/ new information/ documents will be accepted at the time of interview.

1. Basic Details

Applied For Post *

Photo *


Note: JPG/PNG format is allowed. File size should be less than 1MB.

Gender *      

Male Female Other

Marital Status *

Current Address Detail

Residential Address Detail

Same As Current Address.

Note: PDF file is allowed. File size should be less than 1MB.

Years as on 10-10-2025

Category *

Category Certificate *


Note: PDF file is allowed. File size should be less than 1MB.

Sub-Category

Sub-Category Certificate


Note: PDF file is allowed. File size should be less than 1MB.

Details of Medical Council :

Name Of Medical Council*
Registration No *
Date *
Registration Card *