Membership Form


TO 

  • Dr Ravinder Kochhar
  • +91 981 522 221
  • ravinderkochhar@yahoo.in

BANK ACCOUNT DETAILS 

Bank Name        : SBI

A/C NAME        :  INDIAN INSTITUTE OF HOMOEOPATHIC PHYSICIANS

BRANCH            :  COAL ESTATE BRANCH, NAGPUR

A/C NO               :  34824686375

Branch Code      : 9771

IFSC Code         :  SBIN0009060

CENTRAL OFFICE

Kochhar Clinic, Kartar Complex, Kochhar Market Chowk, Model Gram, Ludhiana - 141001, Punjab, India

You can "download the membership form" or fill in the details below.

Name

Address

Teli.(Resi.)

Teli.(Office.)

Fax

Mobile

Date of Birth

Qualification

Year of Passing

Name of College

Regd.No.

Reference