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Receipt of Renewal of Dentists registration Under Dentists Act,1948 (XVI of

1948)
Click Here for Acknowledgement Under the Act 2010 of LSG Services
Application Number : A-230030772 Registration Number : A-02408

Transaction Details
Transaction Id 23010745887159204302

Channel Id CITIZEN

Payment Status Paid

Approved Status Approved

Payment Date Jan 7 2023 2:17PM

Retention For For Five Years

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

Fee Details

Year YearWisePanalty Fee YearFee

2023 0 200 200

2024 0 200 200

2025 0 200 200

2026 0 200 200

2027 0 200 200

Total 0 1000 1000

G.S.T.(9% SGST and

9% CGST out of 18% ₹
Base Fee ₹ 1000 Portal Charge ₹ 150.00
with GSTNO. 27.00
23AAECM7539B1ZQ)

Personal Details
Name DR. MONIKA KHATRI

Father’s Name NARAYAN DAS KHATRI

Spouse Name

Gender Female

Place of birth JABALPUR

Date of Birth(dd/mm/yyyy) 01/01/1986

Date Of Birth In Words ONE JANUARY NINETEEN EIGHTY SIX

Nationality (Kindly give information in details) Indian

Whether Citizen of India by domicile/birth Birth

Voter Card number * DJB1211804

Present Address
883,BADI OMTI, NEAR SHIV VISHNU
Address State MADHYA PRADESH
MANDIR, HARIJAN THANA

District JABALPUR Pin Code 482002

Permanent
Visitors online: 9 Address NAGARJUN