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Applications form for the post of Dental Assistant Professor (PQ) 2023
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Email
*
Your email
Name of Applicant Doctor
*
Please do not prefix Dr.
Your answer
Specialty Applied for the Post of AP
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Oral and Maxillofacial Surgery
Conservative Dentistry and Endodontics
1st Preference
*
Dental College Amritsar
Dental College Patiala
2nd Preference
Dental College Amritsar
Dental College Patiala
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Father's Name
*
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Date of Birth
*
MM
/
DD
/
YYYY
iHRMS No.
*
Your answer
Mobile No.
*
Your answer
Current Designation
*
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Posting
*
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Permanent Home Address
*
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Date of regular appointment in PDMS
*
MM
/
DD
/
YYYY
Date of regular joining in PDMS
*
MM
/
DD
/
YYYY
Date of Probation Clearance
*
MM
/
DD
/
YYYY
Merit No and Service No.
*
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Category
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General
SC
Person With Disability
Specialty of PG
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Prosthodontics and Crown and Bridge
Conservative Dentistry and Endodontics
Periodontology
Orthodontics and Dentofacial Orthopaedics
Oral and Maxillofacial Surgery
Oral & Maxillofacial Pathology and Oral Microbiology
Oral Medicine and Radiology
Pediatric Dentistry
Public Health Dentistry
PG Session
*
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Any complaint/inquiry/departmental inquiry/Court Case pending against you
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No
Yes
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