ALLIED HEALTHCARE PROFESSIONALS REGISTRATION AUTHORITY

ACKNOWLEDGEMENT NUMBER

NAME OF THE CANDIDATE

FATHER’S NAME

MOTHER’S NAME

DATE OF BIRTH

ADDRESS

POST

DISTRICT

STATE

MOBILE NUMBER

EMAIL ID

Applied for Enrolment as ALLIED HEALTHCARE PROFESSIONALS REGISTRATION AUTHORITY Professional on

** Acknowledgement Certificate is only Receipt of application NOT REGISTRATION.

** This is system generated document no physical signature required **