Admission Form
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Full Name
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First Name
Last Name
Date of Birth
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Day
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Father's Name
First Name
Last Name
Mother's Name
First Name
Last Name
Address
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Candidate Phone Number
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Area Code
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Parents Phone No
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Area Code
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Course Name
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BDS
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B. Pharma
D.Pharma
BSc. Nursing
DH
DM
GNM
ANM
MDS
Have you given NEET?
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Current NEET Status
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NEET Score
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MDS Departmental Preferences
Orthodontics
Oral Surgery
Periodontics
Pedodontics
Oral Pathology
Community Dentistry
Conservative & Endodontics
Oral Medicine
Prosthodontics
How did you hear about us?
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Category
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ST
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Can we use these details to contact you via email, phone or text message to share information such as fees structure and admission process?
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