|
S.No.
|
Form No.
|
Purpose of the Forms |
Section
|
Fees
|
Click on icon
to download
/ view the form |
|
1.
|
MCI-01
|
Eligibility Certificate Application Form |
Eligibility Section
|
1000/-
|
|
|
2.
|
MCI-02
|
Proforma for submitting original complaints and appeal cases under section 8.7 & 8.8 of Indian Medical Council (Professional Conduct, Etiquette & Ethics) Regulations 2002. |
Ethics Section
|
200/- (for complaint)
500/- (for appeal)
no fees (for BPL)
|
|
|
3.
|
MCI-03
|
Application for Obtaining a Certificate of Good Standings |
Good Standing Section
|
2000/-
|
|
|
4.
|
MCI-04
|
Application Form for IMR Certificate |
IMR Section
|
1000/-
(for each qualification)
|
|
|
5.
|
MCI-05
|
Application for Provisional/Permanent Registration with MCI - (Indian Nationals with Indian Qualification) |
Registration Section
|
3000/-
(1000/- for prov.
& 2000/- for perm.)
|
|
|
6.(i)
|
MCI-06
(modified on
17.08.2009)
|
Application for Provisional/Permanent Registration with MCI ( Indians with Foreign Qualification) |
Registration Section
|
3000/-
(1000/- for prov.
& 2000/- for perm.)
|
|
| 6(ii) |
MCI-06(OCI) |
Application for Permanent Registration for Indian Nationals/OCI Registered in UK, USA, New Zealand, Australia, Canada |
Registration Section
|
20000/-
|
|
|
7.
|
MCI-07
|
Application for Foreigners for Temporary Permission u/s 14(1) to foreign national holding Non-schedule Medical Qualification. |
Registration Section
|
5000/-
|
|
|
8.
|
MCI-08
|
Application for Registration of Additional Qualification Under Section 26(1) |
Registration Section
|
1000/-
(for each
additional qualification)
|
|
|
9.
|
MCI-09
|
Application Form for Migration |
UG Section
|
5000/-
|
|
|
10.
|
MCI-10
|
Application form for Students wishing to undergo Medical Elective Training in India |
UG Section
|
5000/-
|
|
|
11.
|
MCI-11
|
Application form for holding CME Programmes |
CME Section
|
Payment not required
|
|
|
12.(i)
|
MCI-12(AB)
|
Standard Inspection Form "A" and "B" ( print this proforma preferably on both sides of the sheets ) |
UG Section
|
Payment not required
|
|
|
12.(ii)
|
MCI-12(C)
|
Standard Inspection Form "C" |
UG Section
|
Payment not required
|
|
| 12. (iii) |
|
Assessment Form A I (For Institutions) |
UG Section |
Payment not required |
|
| 12.(iv) |
|
Assessment Form A II (For Assessors) |
UG Section |
Payment not required |
|
| 12(v) |
|
Assessors Guide |
UG Section |
Payment not required |
 |
| 12.(vi) |
|
Declaration Form (revised dated 01.11.2012)
(Faculty/Residents) |
UG/PG Section |
Payment not required
|
|
|
13.
|
MCI-13
|
Standard Inspection Performa for PG (subject wise )
|
PG Section
|
Payment not required
|
|
|
13 (a)
|
MCI-13(ANAES)
|
Anaesthesiology
|
PG Section
|
Payment not required
|
|
|
13 (b)
|
MCI-13(ANA)
|
Anatomy
|
PG Section
|
Payment not required
|
|
|
13 (c)
|
MCI-13(BIO)
|
Biochemistry
|
PG Section
|
Payment not required
|
|
|
13 (d)
|
MCI-13(COM)
|
Community Medicine
|
PG Section
|
Payment not required
|
|
|
13 (e)
|
MCI-13(DVL)
|
Dermatology, Venereology & Leprosy
|
PG Section
|
Payment not required
|
|
|
13 (f)
|
MCI-13(FRM)
|
Forensic Medicine
|
PG Section
|
Payment not required
|
|
|
13 (g)
|
MCI-13(MED)
|
General Medicine
|
PG Section
|
Payment not required
|
|
|
13 (h)
|
MCI-13(SUR)
|
General Surgery
|
PG Section
|
Payment not required
|
|
|
13 (i)
|
MCI-13(MICRO)
|
Microbiology
|
PG Section
|
Payment not required
|
|
|
13 (j)
|
MCI-13(OBG)
|
Obstetrics & Gynaecology
|
PG Section
|
Payment not required
|
|
|
13 (k)
|
MCI-13(OPHTH)
|
Ophthalmology
|
PG Section
|
Payment not required
|
|
|
13 (l)
|
MCI-13(ORTHO)
|
Orthopaedics
|
PG Section
|
Payment not required
|
|
|
13 (m)
|
MCI-13(ENT)
|
Oto-Rhino-Laryngology
|
PG Section
|
Payment not required
|
|
|
13 (n)
|
MCI-13(PAED)
|
Paediatrics
|
PG Section
|
Payment not required
|
|
|
13 (o)
|
MCI-13(PATH)
|
Pathology
|
PG Section
|
Payment not required
|
|
|
13 (p)
|
MCI-13(PHARMA)
|
Pharmacology
|
PG Section
|
Payment not required
|
|
|
13 (q)
|
MCI-13(PMR)
|
Physical Medicine and rehabilitation
|
PG Section
|
Payment not required
|
|
|
13 (r)
|
MCI-13(PHY)
|
Physiology
|
PG Section
|
Payment not required
|
|
|
13 (s)
|
MCI-13(PSY)
|
Psychiatry
|
PG Section
|
Payment not required
|
|
|
13 (t)
|
MCI-13(RDG)
|
Radio-Diagnosis
|
PG Section
|
Payment not required
|
|
|
13 (u)
|
MCI-13(RTH)
|
Radiotherapy
|
PG Section
|
Payment not required
|
|
|
13 (v)
|
MCI-13(TBCH)
|
TB and Respiratory Diseases
|
PG Section
|
Payment not required
|
|
| 13(w) |
MCI-13(E.MED)
|
Emergency Medicine |
PG Section |
Payment not Required |
|
| 13(x) |
MCI-13(N.MED)
|
Nuclear Medicine |
PG Section |
Payment not Required |
|
|
13 (y)
|
MCI-13(Sup. Sp.)
|
PG Super Specialty Courses
|
PG Section
|
Payment not required
|
|
|
14.
|
MCI-14(TA)
|
Traveling Allowance Claim Form
|
UG & PG
|
Payment not required
|
|