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    Applica On For Renewal of Den Sts Registra On Act, 1948 (XVI of 1948)

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    Dr-Amit Pandeya
    Dr. Amit Pandeya applied for renewal of his dentist registration under the Dentists Registration Act, 1948. He paid 1000 rupees for a 5-year renewal. The receipt details his personal and educational information, including graduating with a BDS degree from Barkatullah Vishwavidyalaya, Bhopal in 2011. It also lists the documents uploaded for his renewal application.

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    Applica On For Renewal of Den Sts Registra On Act, 1948 (XVI of 1948)

    Uploaded by

    Dr-Amit Pandeya
    38 views3 pages
    Dr. Amit Pandeya applied for renewal of his dentist registration under the Dentists Registration Act, 1948. He paid 1000 rupees for a 5-year renewal. The receipt details his personal and educational information, including graduating with a BDS degree from Barkatullah Vishwavidyalaya, Bhopal in 2011. It also lists the documents uploaded for his renewal application.

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    for kno

    Original Title

    Dental Council 1

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    Dr. Amit Pandeya applied for renewal of his dentist registration under the Dentists Registration Act, 1948. He paid 1000 rupees for a 5-year renewal. The receipt details his personal and educational information, including graduating with a BDS degree from Barkatullah Vishwavidyalaya, Bhopal in 2011. It also lists the documents uploaded for his renewal application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    38 views3 pages

    Applica On For Renewal of Den Sts Registra On Act, 1948 (XVI of 1948)

    Uploaded by

    Dr-Amit Pandeya
    Dr. Amit Pandeya applied for renewal of his dentist registration under the Dentists Registration Act, 1948. He paid 1000 rupees for a 5-year renewal. The receipt details his personal and educational information, including graduating with a BDS degree from Barkatullah Vishwavidyalaya, Bhopal in 2011. It also lists the documents uploaded for his renewal application.

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    of 3

    1/6/2019 Reciept

    Applica on for renewal of Den sts registra on Act, 1948 (XVI of 1948)
    Click Here for Acknowledgement Under the Act 2010 of LSG Services
    Applica on Number : A-190013330 Registra on Number : A-02744

    Transaction Details
    Transaction Id 19010633430834547061

    Channel Id CITIZEN

    Payment Status Paid

    Approved Status Approved

    Date Jan 6 2019 12:50PM

    Retention For For Five Years


    Fee for one year retention is 200/- and for five year retention is 1000/-

    Do You want to collect Certificate by Online or by Post By Hand

    Fee Details

    Year YearWisePanalty Fee YearFee


    2019 0 200 200

    2020 0 200 200


    2021 0 200 200
    2022 0 200 200

    2023 0 200 200

    Total 0 1000 1000

    Base Fee 1000 Portal Charge 150.00 G.S.T.(9% SGST and


    9% CGST out of 27.00
    https://dental.mponline.gov.in/dental/renewal/showreciept.aspx?app_no=zSyRqXv2lgqrXz%2bS5Mzr%2bA%3d%3d 18% with GSTNO. 1/3
    23AAECM7539B1ZQ)
    1/6/2019 Reciept

    Personal Details
    Name DR. AMIT PANDEYA

    Father’s Name G P PANDEYA

    Spouse Name SHRUTI PANDEYA

    Gender Male

    Place of birth OBAIDULLAGANJ DIST RAISEN

    Date of Birth(dd/mm/yyyy) 10/02/1986

    Date Of Birth In Words TEN FEBRUARY NINETEEN EIGHTY SIX

    Nationality (Kindly give information in details) Indian

    Whether Citizen of India by domicile/birth Domicile

    Aadhaar number *

    Present Address
    PANDEYA DENTAL CLINIC MITTAL
    Address BHAWAN, INFRONT OF VISHAL State MADHYA PRADESH
    AUTOMOBILES

    District RAISEN Pin Code 464993

    Permanent Address
    Address PWD COLONY OBAIDULLAGANJ State MADHYA PRADESH

    District RAISEN Pin Code 464993

    Contact Details
    Email ID ******@GMAIL.COM Phone Number With STD Code 09926340749

    Mobile Number ******0749

    Education Details
    Description of qualification of which BARKATULLAH VISHWAVIDYALAYA,
    BDS Name of the University
    registration is desire BHOPAL

    R.K.D.F. Dental College & Research Whether final B.D.S. Degree has been
    Institution through which appeared Yes
    Centre,Bhopal received or not

    Date of attaining the


    20/01/2011
    https://dental.mponline.gov.in/dental/renewal/showreciept.aspx?app_no=zSyRqXv2lgqrXz%2bS5Mzr%2bA%3d%3d 2/3
    qualification(dd/mm/yyyy)
    1/6/2019 Reciept

    File Upload
    Higher Secondary Certificate/Mark
    High School Certificate/Mark Sheet NA NA
    Sheet

    Paid rotatory Internship completion


    Mark Sheet of B.D.S. Download NA
    certificate

    Attempt certificate NA B.D.S. Degree Download

    Domicile Certificate of Madhya Character Certificate issued by the


    NA NA
    Pradesh Dental College/Institute

    College recognition certificate from


    D.C.I./Ministry of Health & Family
    Declaration Form NA NA
    Welfare, Govt. of India/Copy of
    Gazette Notification.

    Affidavit NA

    Photo ID & address proof Download Download

    https://dental.mponline.gov.in/dental/renewal/showreciept.aspx?app_no=zSyRqXv2lgqrXz%2bS5Mzr%2bA%3d%3d 3/3

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