Sr. No. Original Certificate



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List of Documents Required for Admission

Sr. No.

Original Certificate

1

Attested photocopy of filled in Application Form

2

Attested photocopy of filled in Preference Form

3

Nationality Certificate or Valid Passport

4

Proof of Age

5

Statement of BDS marks of 1st Year, 2nd Year, 3rd Year & Final Year (Part I and Part II Exams)

6

BDS Degree / Passing certificate

7

Attempt Certificate of all University Examinations

8

Internship Completion Certificate or Certificate indicating the likely date of completion of Internship.

9

Registration Certificate of State Council / DCI with latest renewal

10

Caste Certificate issued by the appropriate authorities of Govt. of Maharashtra.

11

Cast Validity issued by the appropriate authorities of Govt. of Maharashtra.

12

Non Creamy layer issued by the appropriate authorities of Govt. of Maharashtra.

13

Leaving Certificate

14

Mark Sheet of APDG CET-2015

15

Migration Certificate

16

6 Recent Passport size photo

17

Medical Fitness Certificate

18

Undertakings

19

Gap Certificate

20

Application



Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital,

Wanadongri Road, Hingna, Distt. Nagpur-441110

PHOTO
RECOGNIZED BY DENTAL COUNCIL OF INDIA AND AFFILIATED TO MAHARASHTRA UNIVERSITY OF Health SCIENCES, NASHIK.

ADMISSION FORM

FOR M.D.S. COURSE

1) Name in Full :

(BLOCK LETTERS) Surname First Name Fathers Name
2. Age / Sex : Year Male / Female:

3. Date of Birth :


4. Cast / Category :
5. Nationality / Domicile :
6. Full Name & Occupation of :

Parents / Guardian


7. Permanent Address of :

Parent / Guardian &
Telephone Number,

Mobile No.


8. Address for Communication :
9. Name and Address of Local :

Guardian


10. a) Year of Passing B. D. S. Examination:___________

b) Name of College / University _____________________________________

c) Number of Attempt _________________________________________

d) Total Marks Obtained _________________out of _________________

11. Marks in BDS

1. BDS – I ------------ out of -------------

2. BDS – II ------------ out of -------------

3. BDS – III ------------ out of -------------

4. BDS – IV ------------ out of -------------

12. List of extra curricular activities

Signature of the

Applicant

Date:


Swargiya Dadasaheb Kalmegh Smruti Dental College & Hospital, Wanadongri Road, Hingna, Dist-Nagpur-441110.

Verification Certificate
This following original certificate in respect -------------------------------------------- -------------------- candidate for admission into Ist MDS of this college, have been verified & found correct.


Sr. No.

Original Certificate

Submitted

Not Submitted

1

Attested photocopy of filled in Application Form







2

Attested photocopy of filled in Preference Form







3

Nationality Certificate or Valid Passport







4

Proof of Age







5

Statement of BDS marks of 1st Year, 2nd Year, 3rd Year & Final Year (Part I and Part II Exams)







6

BDS Degree / Passing certificate







7

Attempt Certificate of all University Examinations







8

Internship Completion Certificate or Certificate indicating the likely date of completion of Internship.







9

Registration Certificate of State Council / DCI







10

Caste Certificate issued by the appropriate authorities of Govt. of Maharashtra.







11

Cast Validity issued by the appropriate authorities of Govt. of Maharashtra.







12

Non Creamy layer issued by the appropriate authorities of Govt. of Maharashtra.







13

Leaving Certificate







14

Mark Sheet of APDG CET-2015







15

Migration Certificate







16

6 Recent Passport size photo







17

Medical Fitness Certificate







18

Undertakings







19

Gap Certificate







20

Application







DEAN


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