MDS Form

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Application For Admission to the Post-graduate Course in the faculty of DENTAL SURGERY(MDS)
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Examinations passed Total No. of Attempts Failures Max Marks Marks Obtained Reg. No Month & Year of Passing Percentage of Marks
First year BDS (Total)
Second year BDS(Total)
Third year BDS Examinations Subjects :
A) General Medicine
B) General Surgery
C) Oral Pathology &Oral Microbiology
IV BDS examinations subjects :
A) Public Health Dentistry
B) Periodontology
C) Orthodontics & Dentofacial Orthopaedic
D) Oral Medicine and Radiology
E) Oral & Maxillofacial Surgery
F) Conservative & Endodontics
G) Prosthodontics and Crown & Bridge
H) Paediatric & Preventive Dentistry
Certified copies of the Marks Cards and attempt Certificates obtained from the Principal of the college must be attached.
Copies of Certificates must be attached in support of the statements made

Documents should be pdf and below 300 kb.
DECLARATION BY THE APPLICANT
I hereby agree, if admitted to the rules and regulations at present in force or may be hereafter framed for the governance of the College and its Hospital and Hostels, and I undertake that so long as I am a student of this college. I will do nothing either inside or outside the College and Hospital that will interfere with the orderly governance and discipline

I hereby agree to make good any loss or damage to books, instruments, furniture and other belongings to college and its Hospital and Hostels, which may be cause by my carelessness, negligence or wantonness on my part

I hereby solemnly affirm that the statements made and information furnished my application form, as also in all the enclosures there to submitted by me, are true. Should it however be found that any information furnished therein is untrue in material particulars. I realise that I am liable to criminal prosecutions and I also agree to forgo my seat in the college by clearing all the financial damages.

I hereby assure that I will not indulge or resort myself in any form of anti-soicial and prohibitive activities such as RAGGING or any kind of harassment-physical or otherwise. I am fully aware of the provisions of Indian Penal code relating offences connected with hurt, endangerment of life or personal safety. Wrongful confinement, assault, criminal intimidation and so on and if I am found indulging myself if such prohibitive and anti-social activities I am liable for server punishment including removal from college and handing over to the police.

I hereby declare that I hold myself responsible for the timely payment of dues to the college during the period of my studies, till the accounts are cleared.

I am aware that fees once paid will not be refunded at any cost. If I intend to discontinue the course at any time after joining, I hereby undertake to pay the College fees and dues as applicable for the remaining years of the course.

I hereby declare that I abide by the above mentioned rules. I also declare that I have carefully gone through the instructions to candidates herein mentioned and agree the same.
   I accept the Declaration.