Registration

Step 1 Step 2

Important: The applicant must provide their name exactly as it appears on the Primary Medical Degree Certificate.

First Name *

Middle Name

Last Name *

Date of Birth *

Country *

Phone Number *

Username *

Email Address *

Password *

Confirm Password *

Name of Primary Medical Degree *

Year of Graduation *

Primary medical degree certificate *

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Upload a single PDF file with maximum file size of 10MB

Name of EM PG Degree

Year of Graduation

Postgraduate EM Degree Certificate

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Upload a single PDF file with maximum file size of 10MB

The Board reserves the final right to accept or reject any application without providing further clarification.