Online BDS Form



Date
R. No
To
The Principal,
INSTITUTE OF DENTAL STUDIES & TECHNOLOGIES
Kadrabad, Modinagar 201201

Sir,

I have the honour of submitting my application duly filled along with necessary documents. I request you to consider me for admission into the First Year BDS course in your college in the current academic session   
    Your's Faithfully
Place (Name Of The Candidate)
       
Name in Full (in block letters )
Name of Father
Name of Mother
Name of Local Guardian
Local Guardian Occupation, Full Address
Permanent, Full Address inclucding Police Station
Present, Full Address
Landline Number
Mobile Number
Date of birth as recorded in the School Leaving Certificate
Nationality

Examination Passed

High School (class 10th )

Name of Board
Year of passing
No. of attempts
% of marks

Higher Secondary (class 12th )

Name of Board
Year of passing
No. of attempts
% of marks in P.C.B(physics, Chemistry, Biology)
% of aggregate marks
P.C.B + English

Marks Obtained Subject Wise

Subject Total Marks in the subject Marks Secured Division/Class
 
Physics
Chemistry
Biology
English
 
Theory Pracitcal Total of a+b %age
 
 

NEET Details

Roll Number
Rank
% Obtained
Declaration
I Mr /Ms.              Son of/ daughter of Shri / Smt.   Permanent resident of   , do hereby declare that, if selected for admission, I shall abide by the Rules/Regulations as framed by the Institute/affiliating University and maintain discipline in the college/hostel and shall not indulge in any unfair act, It is further affirmed that violation of rules/regulations, as above shall make me liable to disciplinary action as may be awarded by the college authority.

Counter name of
Parents/Local Guardian
Name of Candidate