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STATE COUNCIL FOR ALLIED MEDICAL SCIENCE,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)
Select Registartion Type
New or Fresh Registration
Renewal Registration
Duplicate Registration
Additional Registration
Please select the Course you have passed out
*
Select Course
BSc- Anesthesia Technology
BSc- Emergency Medicine Technology
BSc- Medical Laboratory Technology
BSc- Operation Theatre Technology
BSc- Optometry
BSc-Medical Radiation Technology
Certified Blood Collection Assistant
Certified Course in First Aid
Certified Dialysis Technician
Certified ECG Technician
Certified EEG Technician
Certified EMG Technician
Certified Neuro Technician
Certified Ophthalmic Assistant
Certified Ophthalmic Surgical Assistant
Certified OT Technician
Certified Ward Technician
MSc - Clinical Microbiology
MSc - Medical Laboratory Technology
Please select the Year of passing of the Course
*
Select
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Please select the Name of the Institution from which you have passed out
*
Select Institute
Acharya Harihar Post Graduate Institute of Cancer Cuttack
Bhima Bhoi Medical College and Hospital Bolangir
Blue Wheel Institute of Paramedical Science Bhubaneswar
Capital Hospital Bhubaneswar
Fakir Mohan Medical College and Hospital Balasore
L V Prasad Eye Institute Bhubaneswar
MKCG Medical College and Hospital Berhampur
Others
Pandit Raghunath Murmu Medical College and Hospital Baripada
Saheed Laxman Nayak Medical College and Hospital Koraput
SCB Medical College and Hospital Cuttack
School of Paramedics and Allied Health Sciences CUTM
VSS Institute of Medical Science and Research Burla
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
*
Select
Male
Female
LGBT
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)