Register as Allied Health Professional

Name

Upload Photo

Address

Phone Number

Email ID

Blood Group

Mailing Address

Date Of Birth (DD/MM/YYYYY)

Nationality

Sex

Father's Name

Name & Address of the Institution from where training obtained

Institute Name

Institute Address

Job Role Specific Details

S. No.	Scheme Detail	Job Role Name	QP Code–Refer to NSQF Certificate	Training Completion Year	HSSC Certificate Number
1

Provide Employer Details If placed

S. No	Organisation Name	Address	Joining Date(DD/MM/YYYY)	Approx. Salary
1
2
3

HSSC Bank Details

A/c Name – Healthcare Sector Skill Council A/c No - 2411678144 IFSC/RTGS Code : KKBK0000176
BRANCH ADDRESS : Kotak Mahindra Bank Ltd D-960, Near Mata Ka Mandir, New Friends Colony, New Delhi- 110065