Online Register Complaint Against Registered Veterinary Practitiner(RVP) for Professional
Misconduct.
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Complaint Number: |
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| 2. |
Name of Complainant: |
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| 3. |
Father’s Name
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| 4. |
E-mail ID of Complainant: |
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| 5. |
Mobile Number Of Complainant: |
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| 6. |
Full Correspondance Address: |
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| 7. |
Palease Attach a copy of identification of complainant(Aadhar Card/Pan Card/Voter ID or Any other id Issue by State or Central Goverment) |
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| 8. |
Name of RVP Along with particulars of RVP(s) against whom complaint is logged: |
| A.Name of RVP: |
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| B.State Veterinary Registration No: |
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| C.Name of State Veterinary Council: |
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| D.Residential Address: |
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| E.Clinic/Dispensary/Hospital address: |
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| F.TelePhone/Mobile No: |
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| G.Email-ID |
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| 9. |
Place of MisConduct: |
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| 10. |
Nature of Complaint/Allegation as per Regulations:(professional misconducts, misuse of titles and falsely claimming to be registered Veterinary practioners, etc) |
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| 11. |
Describe the misconduct in brief(Maximum 250 words): |
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| 12. |
Whether complaint is related with Large Animals' or small animals'/wild animals: |
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| 13. |
Age of Animal at the time of treatment:
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I hereby affirm and certify that the aforesaid information provided above are true incorrect to the best of my knowledge and belief.