Registration Form

Name of Psychiatrist/Doctor
Father Name
Aadhaar Number
Mobile Number
Doctor Registration Number
Age of Doctor
Gender of Doctor
District Name
Name of Hospital/Clinic
Address of Doctor
Address of Hospital

Important Instructions

  1. All Fields are Mandatory

  2. Fill this form to get Central Registry System User-credentials

  3. Please fill all details correctly

  4. If your provide incomplete or false information, then no user-credentials will be issued

  5. If you are already using central registry system webportal (www.pddrc.in), then no need to apply again for user-credentials

 

 

 

 

 

 

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