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*
Category :
-- Select Category --
Dentist Registration
Dental Hygienist
Dental Mechanic
Transfer of Registration BDS
Transfer of Registration (BDS+MDS)
Registered No.
:
Earlier Council Name
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DCI Letter Issue Date
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Personal Details
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Name (As Per Degree)
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Date Of Birth
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Place Of Birth
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Username
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:
Male
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:
-- Select Nationality --
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-- Select BloodGroup --
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A-
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Others
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Mobile No.
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+91
Aadhaar No.
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Professional/Clinic Address
Line 1
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Line 2
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-- Select Country --
INDIA
OTHERS
State
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Passport no:
District
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Taluka
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Village
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Pincode
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Permanent/Local Address
Line 1
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Line 2
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Country
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-- Select Country --
INDIA
OTHERS
State
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Passport no:
District
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Taluka
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Village
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Pincode
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Contact Me Address
:
Professional
Permanent
Want to collect Certificates?
:
By Hand
Postal
Please go through all the statutory specifications mentioned below and accept the same to proceed to the next page.
DECLARATION
I, Dr.
hereby declare that I have not registered with any other State Dental Council earlier.
SCHEDULE
Form of Declaration
(See Registration 3)
I.
I solemnly pledge myself to devote my life to the cause of serving humanity in the field of dental care,
II.
I shall not use my dental knowledge contrary to the laws of humanity,
III.
I shall not permit consideration of religion, nationality, race, caste and creed, party politics or social standing to intervene in my duty towards my patient and the profession,
IV.
I shall look after the dental health of my patient as my first consideration,
V.
I shall honour the secrets which are confided in me by my patients during the professional services,
VI.
I shall deem it an honour to cherish a proper pride in my colleagues and shall not disparage them by my actions, deeds or words,
VII.
I shall abide by the various provisions of the Act and desist from using a degree/diploma or an abbreviation indicating or implying a dental qualification, which is not in accordance with the definition of recognised dental qualification as defined under clause (i) or section 2 of the Act,
VIII.
I shall not indulge in any activity which might bring discredit to the dental profession.
INSTRUCTIONS
1.
Permanent registration can be done only by the candidates passing from the institutions recognised by Dental Council of India.
2.
All particulars must be filled in by the applicant in his/her handwriting.
3.
The candidate should present himself/herself in person and sign in the Dental Council register and show the originals at the time of registration.
4.
The application form of the permanent registration must be accompained with -
a) Registration Certificate of GSDC must be surrendered in Original.
b) Copy of Degree Certificate or Provisional Pass Certificate obtained after completion of Internship from the University.
c) Internship Completion Certificate from the College.
d) Bonafied Certificate/Study Certificate (Details of 4 years BDS study period) from the college.
e) Photographs - 3 (Two photographs must be attested on front side).
Note :
All Certificates should be attested by Gazetted Officer of State/Central.
Date :
30/10/2024
I hereby accept all the above statutory specifications.
Please enter all your academic qualification details
SSC (10
th
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1931
1932
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Graduation (Bachelor's Degree)
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Select
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1931
1932
1933
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Internship From Date
:
Internship To Date
:
*
Internship Certificate Issue Date
:
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Description Of Qualification
:
as appeared in the Certificate
Country
:
-- Select Country --
INDIA
NEPAL
OTHERS
UAE
State
:
-- Select State --
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
NATIONAL CAPITAL TERRITORY OF DELHI
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
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College
:
-- Select College --
*
University
:
-- Select University --
*
Place Of College
:
P.G. (Master's Degree)
*
Academic From
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2008
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2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
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2022
2023
2024
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Select
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
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2010
2011
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2016
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2024
Passing Month & Year
:
Select
January
February
March
April
May
June
July
August
September
October
November
December
Select
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
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1946
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Specialization
:
-- Select Specialization --
Community Dentistry
Conservative Dentistry
Oral Medicine
Oral Surgery
Oral Pathology
Orthodontics
Prosthodontics
Periodontics
Pedodontics
*
Place Of College
:
*
Description Of Qualification
:
as appeared in the Certificate
State
:
-- Select State --
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
NATIONAL CAPITAL TERRITORY OF DELHI
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMILNADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
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College
:
-- Select College --
*
University
:
-- Select University --
Working Information
*
Registration From
:
*
To Date
:
*
Qualification
:
*
Sponsoring Organization
:
*
Sponsoring Organization Address
:
*
Currently Holding License No.
:
*
Country
:
*
State
:
This page requires the submission of your certificates in scanned format. If you don’t have the scanned copies ready, please save all the information you have submitted and revisit this page using your reference id to resubmit your scanned documents.
Attached Documents
Document
:
NOTE :
Document being attached must be in
.jpg
or
.pdf
or
.gif
or
.bmp
formats and should not exceed
400 KB
in file size.
New User Registration
Dear Applicant,
Please observe the following points before you start the registration process
Ready the scanned copies of your original cerftificates/documents in .jpeg/.jpg/.gif format.
Each scanned copy size should not be more than 400KB (100 dpi in Black and White).
Scan your photo in color @150 dpi.
Required documents for each category are :
Dentist
Hygienist
Mechanic
Photo
Photo
Photo
BDS Provisional Certificate/Degree Certificate/Passing Certificate
Passing Certificate
Two Years Mark Sheet
College Internship Completion/University Completion Certificate
Attempt
Attempt
Final Year Mark Sheet
Two Years Mark Sheet
Passing Certificate
Attempt
Birth Certificate/School Leaving Certificate
Birth Certificate/School Leaving Certificate
Birth Certificate/School Leaving Certificate
Election Card/Aadhar Card/Residential Proof Of Gujarat/Gujarat State Domicile Certificate
Election Card/Aadhar Card/Residential Proof Of Gujarat/Gujarat State Domicile Certificate
Election Card/Aadhar Card/Residential Proof Of Gujarat/Gujarat State Domicile Certificate
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