BANGLADESH MEDICALAND DENTAL COUNCIL

MEDICALAND DENTAL COUNCILACT, 2010

Certificate of fulI Registration as a Bental Bractítíoner

11NNO

12839
BANGLADe HMEDICAL AND
DENTAL

Date of Registration
11-Jun-2023
.....................

Registration No. . . . . . . . . . . .

Name Address Recognised Dental Qualification and date thereof

Mo. Sami Azaà 176/ A/1, North Shygamoli B0SIhaka) 2Nobember, 2021
.0- Mohammabpur
$-Sher- - Bangla Nagar
Dhaku

registhalion,
His heeby rerlified hal lhe akove dleserniplion fName, Regishalion nunber, Dale f entaies
.tddess nnd Dualificalion f lhe egislered Denlal paclilioner is a lue cofy f lhe in lhe
Regisle ulaling lo lhe Denlalpracllioner named akore.
The registered dental practitioner holds a recognised dental
qualification included under the Fourth schedule of the Bangladesh
Medical and Dental Council Act 20|0.
Note : The Certificate holder is to scnd to the Rep1stra mmedate notice of any change in
lusher address so that husher corfect addseN may duly be iiserted in the Repister
The (etiticate holder N lo Renew hisher kegrstration aller every live years from
the datc of issue. REGISTRAR