MBBS Graduates completed internship are eligible for admission in Dip.GO / Dip.CH course.Please register below for further admission procedure. Name Address (Correspondence) City State Telephone / Mobile Email ID Passed MBBS from which medical college Completed Internship (dd/mm/yyyy) Medical Council Registration State / MCI Percentage of total Marks or Grade obtained in 1st professional exam(Anatomy, Physiology & Biochemistry together) Percentage of total Marks or Grade obtained in 2nd Professional exam(Pharmacology , Pathology, PSM, FSM together) Percentage of total Marks or Grade obtained in 3rd Professional exam(Medicine, Surgery (and allied), Obs & Gyn & Paediatrics together) Did you pass all subjects on First Attempt? ---YESNO If no, mention subjects and attempts At present working at(hospital/ clinic name) Working as (post) Mention with year about your past engagements since you have completed your internship Which course you want to join ---DIP.GODIP.CH Want to pursue DIP.GO/ DIP.CH from which Study Centre (give three choices) Study Centre 1 --- Study Centre 2 --- Study Centre 3 --- Any other choice of City/ Hospital
