Kanchi Mutt Doctors Database

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Yes or No This form is to be used by the Kanchi Kamakoti Mutt for providing qualified and dedicated medical professionals DIRECT their hospitals across India, full time or part time, long and short duration. We will try to fit this to the closest city or town you are from so that it is a win-win. But commitment should be high to this cause although you are not paid for volunteering – this is to make our citizens healthy and safe. Strong preference would be given to Brahmin professionals. Also medium of consulting can be either English or the local regional language. Since this is a hospital environment, we look out only for professionals with NO vices (like drinking, smoking etc) at all . Please fill this form only ONCE If you do say NO, due to limitation in WPForms Life, you still have to fill the rest of the details unfortunately, sorry. Or do not fill out the form if you do NOT want to volunteer.
Name
First and Middle name can be put in the FIRST Name
Email
Type your email address where we can reach you
Male or Female
Format: Day/Month/Year
Pl be specific: Tamizh, Telugu, Kannada, Malayalam, Tulu, Konkini, Marathi, Gujarathi, Hindi, other languages (be specific)
Presently residing in which city and state?
Where were you born – city and state.
Patriarchal ue to Heritage or Parentage – likely where you go to worship during family events. This may not be the city of birth or where you reside.
Your occupation now if working, or in the past if not working. Pl give all details including place of work.
Describe your medical degrees obtained in full detail and your specialization. Start off with MBBS (or MD in USS or Canada) and then specializations, if any, Ex, M. D. (Obs) etc
Full name of Spouse – first and last
Occupation of your spouse, presently if working, or past if retired
Give us more details about your children – names, age, what do they do, where are they located etc…
What medical domain or area do you specialize in? Be specific
This is purely pro bono work – more for a healthy community through your expert knowledge. Kindly give details about the numbers of works you can go and deliver your medical practice face-to-face. If you are outside India, let us know the duration in months and the period you can volunteer at the hospital. Once committed, although it is free pro bono work, it is essential you stick to your committments.
This is purely pro bono work – if you are abroad and want to do volunteerism in India, let us know the duration you can do it and preferred location.
Add +91 for India if you are in India
Can be the same or different from the cell phone number
Please put the actual Linkedin profile link. If you do not have one, kindly say N/A
We may use this to involve you with other volunteer works associated with Kanchi Kamakoti Mutt, if needed.
If you have any specializations that you are the most sought after expert, let us know. Would love to hear anything about what you specialize.
Presently the Eye hospitals are in Pammal, TN and Varanasi, and medical hospitals are in Tirupathi and Kanchipuram
Pancha-Gauda (North of Vindhya): • Gaur or Gauda • KanyaKubja (origins mostly from Ayodhya, Agra, Delhi and Kanauj) • Maithil (origins mostly from Bengal and Bihar) • Saraswat (origins mostly from Punjab) • Utkal Pancha-Dravida (South of Vindhya): • Karnatak • Tailang/Telugu • Maharastra, Konkan and Malabar • Gurjar/Gujarat • Dravid (from Tamilnadu and Kerala mostly)
Be specific .
Any of your ancestors (your side or your spouse’s side) are or was involved with the Kanchi Mutt? Please give specific details about name and relationship