odisha
 
APPLICATION FOR REGISTRATION UNDER STATE COUNCIL FOR ALLIED MEDICAL SCIENCE,ODISHA
 
First keep ready the Scan copy of Documents mentioned against (a) (b) (c) (d) in .jpg / .jpeg Formats and then fill up the details information as mentioned below
* Minimum Requirements
(a) Require amount of Challan paid through SBI e-Pay / SBI Collect through Online Mode Only (No Bank Draft will be accepted) *
(b) Scan copy of passport size photograph (colour)and Full Signature *
(c) Scan Copy of Pass Out Certificate of Allied / Para Medical Science Courses from the Board/ University Last attended *
(d) Scan Copy of CLC / TSLC from Institute Last attended (For Fresh Registration Only) *(or) Existing Registration Certificate (For Renewal Only)*
 
 
Please Fill up the Following Information to apply for Fresh Registration / Renewal of Registration/ Duplicate Registration /  Additional Registration in SCAMS, Odisha
 
Please select the type of Registration *(Fresh/Renewal/Additional/Duplicate etc)
  
Please select the Course you have passed out *
Please select the Year of passing of the Course *
  
Please select the Name of the Institution from which you have passed out *
  
If select others ,please enter the institute name  
Enter SBI e-Pay / SBI Collect Reference No (DUXX)*
 
Enter SBI Bank Reference No (IGXXX)*
  
Please enter the Amount Paid (INR) *
  
Please enter the Date of Payment *
  

Enter your Full Name (As per 10th certificate) *

  
Please enter Aadhar Number
 
Enter your Father Name (As per 10th certificate)*
 
Enter your Mother's Name (As per 10th certificate)
  
Date of Birth (As per 10th certificate) *
    
Gender / Sex *
  
Please enter your Address Details *
(At-Po-PS-Via-Dt-Pin)
 
Please enter your Contact Valid Mobile No *
(Enter only one mobile number)
 
Please enter your valid e-mail ID *
  
Examination held in the Month, Year *
(like June 2018) (As mentioned in Pass Certificate)
 
Duration of the Course (From)/ Date of admision / Joining in the Training *
  
Duration of the Course (To)/ Date of Completion / relieving from the Training *
  
Roll no issued by Examining Board/ University
(For New / Fresh Registration)
 
Existing Registration Number given by Council
(For Renewal / Duplicate / Reciprocal Regd. only )
 
Existing Registration Date
(For Renewal / Duplicate / Reciprocal Regd. only )
    
Existing Registration Validity Till
(For Renewal / Duplicate / Reciprocal Regd. only )
   
Name of the Examining Body / Board / University *
  
Date of declaration of the Result (As per certificate)
 
Upload your Signature *
(Scan Copy of Full SIgnature)
 
Upload your photo *
(Passport size colour photo in Professional Attire)
 
Upload Scan Copy of Pass Out Certificate of Allied / Para Medical Science Courses isued by Board/ University last attended
 
Upload Scan Copy of your CLC / TLC
(For New Registration) Or
Existing Registratioon Certificate
(For Renewal Registration)