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CERTIFICATE OF REGISTRATION
FORM-10
( See rule 76 )

CERTIFICATE OF REGISTRATION

THE GUJARAT MEDICAL COUNCIL, AHMEDAMBAD

Registration No _______________
This is to certify that * * * Doctor / Shri / Shrimati / Kumari__________________________________________________ (full name) possessing the qualifications of ________________________ has been duly registered under the Gujarat Medical Council Act, 1967 in part ** ______________ of the register.
 
In witness whereof are herewith affixed the seal of the Gujarat Medical Council , and the signature of the Registrar.
 
Dated the _________
_____________
Registrar
Seal _______________
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