Maharashtra Medical Council

Application for Submitting Original Complaint Under Maharashtra Medical Council Act ,1965

Full Name Of the Complainant *

Full Postal Address *

City *

District *

State *

Pin *

Preferred Email ID

Mobile No *

Resdential No

Office No

Full Name of Doctor *

MMC Reg No.

Address

City

District

State

Telephone No

Mobile No

Email ID

Nature of the Complaint/ allegations in Points *

Upload Nature of the Complaint/ allegations *

Upload Declaration *

Upload Complaint Related Documents

RjMlSV

Change Image

Enter Above Displayed Characters*