Pradhan Mantri Surakshit Matritva Abhiyan

Name:

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Working in:

Private Sector Voluntary Organization Retired

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Specialization:

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Email Address:

MCI/State Medical Council Registration Number:

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Member of any Professional Body:

Residential State:

Residential District:

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Volunteering for:

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District:

I understand that, should I be accepted as a volunteer in PMSMA, I will abide by the rules of the programme. As a volunteer, I will respect the confidentiality of the information.
Volunteers under the PMSMA programme will offer their services to government health facilities without receiving any form of compensation.
I certify that the information submitted in the registration form are true and complete to the best of my knowledge.

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