Phlebotomist Registration
Diagnostic Sample Collection & Pathology Network
1. Personal Information & Login
Full Legal Name *
Mobile Number *
+91
Email Address
Password *
Confirm Password *
2. Laboratory Certification & KYC
DMLT / Phlebotomy Certificate / Diploma
*
Upload scanned diploma or technician license certificate
Upload Document (Camera / Gallery / PDF)
Aadhaar Card Number (12 Digits) *
Aadhaar Card Document
*
Upload front/back of your Aadhaar card
Upload Document (Camera / Gallery / PDF)
PAN Card Number (10 Characters) *
PAN Card Document
*
Upload PAN card photo or PDF
Upload Document (Camera / Gallery / PDF)
3. Sample Transit Vehicle
Vehicle Registration Number
Driving License Number
4. Operating Address & Payout Bank
Street & City
City
Pincode
Bank Name
Bank Account Number
IFSC Code
Submit Phlebotomist Application
Already registered as a Phlebotomist?
Sign In