Personal Details

Candidate Photo
Application Status Registration Numbe First Name
PaymentSuccess r SYED
10003961
Middle Name Last Name
MOHAMMED AMJAD
Father's Name Mother's Name Are you registered
SYED MOHAMMED SABIRA SYED with any State Dent
ASLAM al Council?:
Yes
Registration Type: Name of State of De State Dental Council
Permanent ntal Council Registration Numbe
Rajasthan r:
A11084
Date of Registration Valid upto/renewed
15/05/2024 upto
31/12/2028

Other Personal Details

Mobile No Email ID
8619790400 dramjad0400@gmail.
com
ID Proof ID No. Domicile
Other 691737349311 RAJASTHAN
Gender Religion Marital Status
Male MUSLIM Unmarried

Category Details

Category
OBC-NCL

Miscellaneous Details
Do you have Practic
al Knowledge of Hin
di Language in Devn
agri Script (lipi) and
Culture of Rajastha
n? क्या आपको देवनागरी
लिपि में हिंदी भाषा का व्य
वहारिक ज्ञान एवं राजस्थान
की संस्कृ ति का व्यावहारिक
ज्ञान है?:
Yes

Additional Category Details

Whether you are Pw Whether you are an Date of Birth (DD-M

D? Ex-Serviceman ? M-YYYY)
No No 13/Feb/1996
Age as on 01st Janua
ry 2025
28 Years 10 Months 1
9 Days

Correspondence Address

Address Line 1 Address Line 2 Country

POWER HOUSE ROAD MARIYAM SYED India
WARD NO-8 MANZIL RATANGARH
State District City/Town/Village
Rajasthan Churu RATNGARH
Pincode/Postal Code Is Permanent Addre
331022 ss Same as Correspo
ndence address?
Yes

Permanent Address

Address Line 1 Address Line 2 Country

POWER HOUSE ROAD MARIYAM SYED India
WARD NO-8 MANZIL RATANGARH
State District City/Town/Village
Rajasthan Churu RATNGARH
Pincode/Postal Code
331022

Matric/High School Details

Name of Board Year of Passing Duration of Course

RBSE 2012 (Number):
1
Duration of Course No. of Attempts
(Month/Year): 1
Year

10+2 or equivalent examination Details

Name of Board Year of Passing Duration of Course

RBSE 2015 (Number):
1
Duration of Course No. of Attempts
(Month/Year): 1
Year
 UG Degree Details

Duration of Completio
n of BDS course exclud
ing internship (In Year
s).
5

Sr. No. Number % of Ma Year of Name O Universi City Na State Na

of attem rks Passing f College ty me of yo me of yo
pts ur Colle ur Colle
ge ge

1 2 54 2017 JAIPUR MAHAR JAIPUR RAJASTH

DENTAL AJ VINYA AN
COLLEG K GLOB
E AL UNIV
ERSITY

2 3 55 2018 JAIPUR MAHAR JAIPUR RAJASTH

DENTAL AJ VINAY AN
COLLEG AK GLO
E BAL UNI
VERSITY

3 1 55 2019 JAIPUR MAHAR JAIPUR RAJASTH

DENTAL AJ VINAY AN
COLLEG AK GLO
E BAL UNI
VERSITY

4 1 61 2020 JAIPUR MAHAR JAIPUR RAJASTH

DENTAL AJ VINAY AN
COLLEG AK GLO
E BAL UNI
VERSITY

Internship Details

Have you completed Place of Internship:

your Internship ?: JAIPUR DENTAL
Yes COLLEGE
Date of Completion
of Internship:
17/06/2021

PG Details

Do you have PG Deg

ree?:
No

Employment Details

Have you ever rende Are you presently w

red services in State orking at any Organi
Service or Presently sation?:
Working ?: No
No
Institute Details

Name of Institute la
st attended:
JAIPUR DENTAL
COLLEGE

Responsible Officer for Reference/ Verification - First Officer Details

Name: Designation: Address:

DR SYED SENIOUR TEACHER POWER HOUSE ROAD
MOHAMMED ASLAM WARD NO-8
MARIYAM SYED
MANZIL RATANGARH
DIS CHURU
Mobile No:
9887131698

Responsible Officer for Reference/ Verification - Second Officer Details

Name: Designation: Address:

RAKESH KATHAK VICE PRINICIPLE NEAR ASHOK
ASTHAMB RAILWAY
NO -FOURTH BRIDEG
RATANGARH DIS
CHURU
Mobile No:
9079111604

Additional Details

Whether you have e

ver been penalized,
removed or blacklist
ed, if yes then menti
on the section unde
r which penalized an
d also mention the p
enalty?
No

Payment Details

Amount Transaction ID Order ID

5000 19943803668 100039612024052114
2852

Document Upload Details

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k:

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nk:
 To view your Scanned State Dental Council Registration C
Click here.
ertificate.:

To view your Scanned UG Marksheets: Click here.

To view your Scanned UG attempted certificate: Click here.

To view your Scanned Caste Certificate: Click here.

To view your your Scanned entered/filled ID proof: Click here.

To view your your Scanned Internship Completion Certific

Click here.
ate:

Declaration

I hereby declare that all the information given by me in support of my applic

ation is true, complete and correct to the best of my knowledge and nothing
has been hidden by me. If any of them is found to be incorrect or false, I sha
ll be liable to any legal action and / or termination from the services as may
be deemed fit by the appointing authority.