NOC | State Council of Indian Medicine, Assam

1

Registration Number

Full Name

2

Purpose

Additional Details

Supporting Document (offer letter / admission letter) Click to upload or drag file here (demo — not functional)

PDF / JPG, max 2 MB

Current Registration Certificate Click to upload or drag file here (demo — not functional)

PDF / JPG, max 2 MB

3

I declare the above information is true and correct.

Scan the QR code below with any UPI app to pay the applicable fee, then enter the transaction reference below.

Sample merchant QR — for layout only. UPI ID: scimassam@upi (placeholder)

UPI Transaction / UTR Reference No.

Upload Payment Screenshot / Receipt Click to upload or drag file here (demo — not functional)

PDF / JPG, max 2 MB

State Council of Indian Medicine, Assam