Medindia Registration for Online Medical Consultation
Fields marked * are mandatory
Account Information
Name *
Email *
Password *
Retype Password *
Address *
City *
State *
Country *
Pincode/Zipcode *
Mobile *
Educational and Professional Information
University *
Degree / Diploma / Certification *
Registration Number / License Number *
Work Schedule *
Years of Experience *
Profile (as it will appear on website) *
(Formats: jpg, gif, bmp, png, pdf. Max size 1 MB)
Curriculum Vitae / Resume *
(Formats: txt, doc. Max size 1 MB)
Degree Certificate *
(Formats: jpg, gif, bmp, png, pdf. Max size 1 MB)
Copy of Registration / License *
(Formats: jpg, gif, bmp, png, pdf. Max size 1 MB)

*  Review and Accept Agreement   

Medindia is committed to keeping your information confidential and respect your trust. Medindia will not disclose the information collected from you to any third party.

Note :
Please provide the correct information. We are totally committed to respecting your privacy and we follow strict guidelines to ensure that there is no abuse of any of the information such as e-mail that is provided by you. The information you provide is always treated as strictly confidential. Thank you for your co-operation.

Designed & Content Managed by Pvt. Ltd. Hosted & Technical Support by FrontPoint Systems.