Registration

Registration Form for DIP.GO & DIP.CH Course

Welcome to our Registration Form page for MBBS Graduates who have completed their internship and are eligible for admission in Dip.GO / Dip.CH course.

Please register below for further admission procedure.students interested in enrolling in our DIP.GO and DIP.CH courses.

This form is designed to gather all the necessary information we need from you to successfully enrol you in our courses. Please fill out all the required fields and ensure that the information you provide is accurate.

Once you have completed the form, we will review your application and get back to you with further instructions on how to proceed with your enrolment. Thank you for your interest in our courses and we look forward to having you as a student!

Section I

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone / Mobile(Required)

WhatsApp Number

Email(Required)

Enter Email Confirm Email

Section II

Medical College from where MBBS passed:(Required)

Completed Internship (dd/mm/yyyy)(Required)

Medical Council Registration State / MCI(Required)

Percentage of total Marks or Grade obtained in 1st professional exam:(Required)

(Anatomy, Physiology & Biochemistry together)

Percentage of total Marks or Grade obtained in 2nd professional exam:(Required)

(Pharmacology , Pathology, PSM, FSM together)

Percentage of total Marks or Grade obtained in 3rd professional exam:(Required)

(Medicine, Surgery (and allied), Obs & Gyn & Paediatrics together)

Did you pass all subjects on First Attempt?(Required)

Yes

If no, mention subjects and attempts:

Section III

Are you working presently?(Required)

Yes

A. At present working at?

(Hospital / Clinic Name)

B. Working as?

(Post / Designation)

Mention with year about your past engagements since you have completed your internship:

C. Which course do you want to join?(Required)

DIP.GO

DIP.CH

E. At which Study Centre do you wish to pursue DIP.GO from? (give three choices)

Study Centre 1 DIP. GO: (Alphabetically State-Wise)(Required)

Study Centre 2 DIP. GO: (Alphabetically State-Wise)(Required)

Study Centre 3 DIP. GO: (Alphabetically State-Wise)(Required)

Any other Choice of City / Hospital? (DIP.GO)

E. At which Study Centre do you wish to pursue DIP.CH from? (give three choices)

Study Centre 1 DIP. CH: (Alphabetically State-Wise)(Required)

Study Centre 2 DIP. CH: (Alphabetically State-Wise)(Required)

Study Centre 3 DIP. CH: (Alphabetically State-Wise)(Required)

Any other Choice of City / Hospital? (DIP.CH)

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.

National Association for Reproductive and Child Health of India

NARCHI

Registration Form for DIP.GO & DIP.CH Course

Section I

Section II

Section III

E. At which Study Centre do you wish to pursue DIP.GO from? (give three choices)

E. At which Study Centre do you wish to pursue DIP.CH from? (give three choices)

Quick Links

Download Forms

Contact Information

National Association for Reproductive and Child Health of India

NARCHI

Registration Form for DIP.GO & DIP.CH Course

Section I

Section II

Section III

E. At which Study Centre do you wish to pursue DIP.GO from? (give three choices)

E. At which Study Centre do you wish to pursue DIP.CH from? (give three choices)

Quick Links

Download Forms​

Contact Information​

Download Forms

Contact Information