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Affidavit For Intentionship

Dr. Naveen Kumar provides an affidavit stating: 1) He studied medicine at PES Institute of Medical Science & College and Hospital in Kuppam, Andhra Pradesh from 2013 to 2022. 2) He completed his compulsory internship training from September 2021 to December 2022 and extended his internship until December 2022 at PES Institute. 3) He was unable to register permanently with the Andhra Pradesh Medical Council due to receiving his degree certificate late.

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0% found this document useful (0 votes)
86 views

Affidavit For Intentionship

Dr. Naveen Kumar provides an affidavit stating: 1) He studied medicine at PES Institute of Medical Science & College and Hospital in Kuppam, Andhra Pradesh from 2013 to 2022. 2) He completed his compulsory internship training from September 2021 to December 2022 and extended his internship until December 2022 at PES Institute. 3) He was unable to register permanently with the Andhra Pradesh Medical Council due to receiving his degree certificate late.

Uploaded by

Gm Palani
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AFFIDAVIT

I, Dr Naveen Kumar S/o. M.Srinivasan, aged 27 years residence of Door no. 1/57,
BairamangalamVillage and post, Denkanikottai Taluk, Krishnagiri District, Tamil nadu-
635113, do hereby solemnly, affirm and declare on oath as follows
1) That I was student of M.B.B.S at P.E.S. Institute of Medical Science & College and
Hospital, Kuppam Andhara Pradesh state from 2013 to 2022.
2) That I have completed my compulsory rotatory internship training during 20.9.2021 to
27.12.2022 and I also extended internship from 20.9.2022 to 27.12.2022 for PES Institute of
Medical Science &College and Hospital, Kuppam, Andhra Pradesh.
3) That I could not get myself registered permanent with the Andhra Pradesh medical Council
due to the reason that I received my degree certificate belatedly.
4) That I have not done any unethical practice after completion of my internship training
However, if any complaint is made against me, I will be responsible for the same.
5) That I have not done any act amounting to disqualification for being registered under the
provision of section 15(4) of A.P. Medical Practitioner Registration Act 1968 (As amended
Act No.28/1986).
6) That the facts stated above are true and correct to the best of my knowledge and belief.

DEPONENT

Solemnly affirm and signed before me at kuppam on 06.08.2022.

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