Step 1 of 4

Step 1: Personal Information and Login Credential

Full Name

Gender Choose... Male Female Other

Date of Birth

Phone Number

Email Address

Profile Picture (Optional)

Password

Confirm Password

Passwords do not match.

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Step 2: Professional Information

Medical Registration Number

Degree

Years of Experience

Qualifications

Medical School/College

Languages Spoken

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Step 3: Upload Documents

Registration Proof

ID Proof

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Step 4: Bank Details

Bank Name

Account Number

IFSC Code

Account Holder Name

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