Doctor’s Registration Form

Subscription Detail

Doctor's Subscriber Details

Dr. or Spouse can subscribe to the Animals App.

First Name *

Last Name *

Email Address *

Alternate Email Address

Phone Number 1 *

Alternate Phone Number *

Clinic Name

Your Speciality *

Your Age *

Your Date of Birth *

Marital Status *MarriedUnmarried

Spouse's name

Spouse's Age

Spouse's Date of Birth

No. of Children

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Upload Aadhar Card & Successful Payment Receipt

State or VCI Reg Number (Reg card) ( Multiple can be uploaded) *

Checkbox *

I accept all terms & conditions

Account Details

Greetings from Animal’s App by Animalsomatic Clinic (Firm)

Bank Account Details for ( NEFT / RTGS / IMPS ) Transfers.

After payment confirmation please share the receipt at info@animalsapp.in

Name: ANIMALSOMATIC CLINIC ( Animals App )
Account Number:50200081861238
IFSC: HDFC0008691
Bank: HDFC Bank
Branch::Pundag,Ranchi, Jharkhand

After payment confirmation please share the reciept at info@animalsapp.in

Greetings from Animal’s App by Animalsomatic Clinic (Firm)

Please scan the QR for hassle free payment.