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CLINICAL CANDIDATE – ONBOARDING REQUEST FORM
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On-Boarding Process
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Name
*
Dr.
Mr.
Mrs.
Miss.
Ms.
*
First
Middle
Last
Gender
*
Female
Male
Blood Group
*
A+
A-
B+
B-
O+
O-
AB+
AB-
Date of birth
*
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Registered Partnership
Not Interested to Share
Contract Number
*
Offered Designation
*
Course
*
Address 1 ( Permanent )
*
Address 2 ( Present )
*
Contact Number
*
Whatsapp Number
*
Mail ID
*
Photo
*
Click or drag files to this area to upload.
You can upload up to 2 files.
Upload Passport Size
Choose Residential Types
*
Choose Types
Indian Resident
Non Resident
ID Proof (Adhar, Passport, etc)
*
ID Proof (Adhar, Passport, etc)
*
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You can upload up to 2 files.
Upload Front & Back sides of Aadhar Card
PAN Card Number (For Indians only)
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PAN Card
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Bank Details
Bank Details
Beneficiary Name (IND)
*
Beneficiary Address (IND)
*
Beneficiary Contact No. (IND)
*
Bank Name (IND)
*
Account No. (IND)
*
IFSC Code (IND)
*
Bank Address (IND)
*
Beneficiary Name
*
Beneficiary Address
*
Beneficiary Contact No.
*
Bank Name
*
Account No.
*
City
*
Bank Address
*
Iban Number
*
Swift Code
*
Sort Code
*
Bank Currency
*
Documents Upload
Update CV
*
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You can upload up to 8 files.
File Type in .png, .gif, .jpg ,doc, .pdf file type
StudyMEDIC Job Contract (Signed)
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File Type in .png, .gif, .jpg ,doc, .pdf file type
Higher Education Certificate
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File Type in .png, .gif, .jpg ,doc, .pdf file type
Other Certificates
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File Type in .png, .gif, .jpg ,doc, .pdf file type
Experience Certificate
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