APPLICATION FORM FOR ADMISSION IN MDS-2019

Important: Eligibility- The Candidate should be NEET MDS – 2019 qualified. Admission is as per norms laid down by Govt. of Rajasthan, DCI & Govt. of India.

Application Form

Your Name(required)

Mobile

Your Email

Gender
MaleFemale

Category
GenOBCSCST

Date of Birth

Father's Name

Profession

Mobile

Permanent Address

Hostel Accomodation Required
YesNo

College of Graduation

NEET MDS - 2019 Marks

NEET MDS - 2019 Roll No

Choice of MDS Branch

Write Number (1. CONSERVATIVE DENTISTRY AND ENDODONTICS, 2. ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 3. PROSTHODONTICS AND CROWN & BRIDGE, 4. ORAL & MAXILLOFACIAL SURGERY, 5. PAEDODONTICS AND PREVENTIVE DENTISTRY, 6. PERIODONTOLOGY, 7. ORAL MEDICINE AND RADIOLOGY, 8. ORAL PATHOLOGY AND MICROBIOLOGY, 9. PUBLIC HEALTH DENTISTRY)

Declaration: I hereby declare that the details furnished above is true in best of my knowledge. In case any of the above information is found to be false then i will be responsible for it.

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