MDS Registration | AWADH DENTAL COLLEGE & HOSPITAL

STUDENT DETAILS

Name* * Enter Students Full Name

Date of Birth*
* Enter Date of Birth

Gender*

Religion*

* Select Religion

Category*

Blood Group*

Mobile No* * Enter Student's Mobile No.

Email ID* * Enter Student's Email Id/span>

PARENT'S / GUARDIAN'S DETAILS

Fathers Name* * Enter Students Fathers Name

Mothers Name* * Enter Mothers Name

Parents Occupation* * Enter Occupation

Parents Contact No* * Enter Mobile No.

Parents Email ID * * Enter Parents Email Id

ADDRESS DETAILS

Full Address* * Enter Your Full Address

State*

* Input Your state

ACADEMIC DETAILS

Previous Institution (B.D.S College Name)* * Enter Previous Institution

Previous Board / University (B.D.S)* * Enter Previous Board / University

BDS Passing Year* * Enter BDS Passing Year

BDS 1st Yr Marks in (%)* * Percentage obtained in BDS 1st year

BDS 2nd Yr Marks in (%)* * Percentage obtained in BDS 2nd year

BDS 3rd Yr Marks in (%)* * Percentage obtained in BDS 3rd year

BDS 4th Yr Marks in (%)* * Percentage obtained in BDS 4th year

Overall (%) in BDS* * Enter Total Percentage in BDS

Internship Starting Date*
* Enter Date of Starting

Internship Ending Date*
* Enter Date of Ending

NEET DETAILS

NEET Roll No* * Enter NEET ROLL NO

NEET Marks* * Enter NEET Marks

NEET Rank* * Enter NEET Rank

Overall Rank* * Enter Overall Rank

Category* * Enter your Category

Category Rank* * Enter Category Rank

Self - Declaration

I hereby declare that all the information and documents provided by me are true and correct to best of my knowledge, if any false, forged or misleading information provided to be found incorrect then my admission shall be rejected or cancelled without prior notice. I shall be solely responsible for adverse actions.

Documents

1. NEET Admit Card and Score Card.
2. Registration Certificate of B.D.S.
3. Marksheet & Admit Card of all years of B.D.S.
4. Internship Completion Certificate, Attempt Certificate.
5. Conduct / Character Certificate, Degree Certificate.
6. State Dental Council Permanent / Provisional Certificate.
7. Aadhar Card & PAN Card.
8. Disability Certificate and Caste Certificate (If Applicable).
All Documents should be Self-attested and submitted along with Original for Verification by Nodal Officer appointed by J.C.E.C.E Board with Registration Fees 500/-.