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

Fathers Occupation* * Enter Students Fathers Occupation

Fathers Contact No* * Enter Students Fathers Mobile No.

Mothers Name* * Enter Students Mothers Name

Mothers Occupation* * Enter Students Mothers Occupation

Mothers Contact No* * Enter Mothers Mobile No.

Fathers / Mothers Email ID * * Enter Parents / Fathers Email Id

ADDRESS DETAILS

Present Address* * Enter Present Address

Permanet Address* * Enter Permanet Address

State*

* Input Your state

ACADEMIC DETAILS

Previous Institution / University (BDS)* * Enter Previous Institution

Previous Board / University (BDS)* * Enter Previous Board / University

BDS Passing Year* * Enter BDS Passing Year

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

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

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

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

Overall Percentage 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

Attachments

Photo*

Note :
# Upload Photo (Size Between 100KB to 500KB)
# Name of JPEG or JPG Image (Student Name + Mobile No)

* Photo

Attachements*

Note :
# Upload all documents in one Pdf (Size less than 5MB)
# Name of PDF File should be Student Name + Mobile No (e.g - RAM9431123456)
# Marksheet & Admit Card of 1st year,2nd year,3rd year and 4th year of B.D.S
# Registration Certificate of B.D.S
# Internship Completion Certificate, Attempt Certificate
# State Dental Council Permanent/Provisional Certificate
# Conduct Certificate, Degree Certificate
# NEET Score Card
# Aadhar Card
# Caste Certificate (If Applicable)

* Attachement