Era's Lucknow Medical College And Hospital
Registration Panel (Alumni)
Welcome New Alumni
 Wednesday, December 11, 2019
Alumni Registration
Yep, this is all the info we need to set you up. Once you are done activating your account, it's a good idea to go in and edit your profile with some stuff about yourself. Your email address is safe with us! We keep it completely private.
Login Details
Username(email id)*    
Password*    
Confirm Password*    
Personal Details
Full Name*
Upload Image      
Photo
Gender*
Date of Birth  
Present Address
Permanent Address
City*
Residence Phone
Clinic Phone
Fax
Mobile  
Alternate Email Id  
College Details
Enrollment No.*
Speciality
Highest Qualification
Qualification from ELMC*
Year of Joining MBBS In ELMC  
Year of Joining PG In ELMC
   
Stay at ELMC From Year*     Till Year*  
Current Details
Current Job Title
Place of Work
Current Address
Office Phone
Type the characters you see in the picture.
* - Required Fields
 
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