Rashtreeya Sikshana Samithi Trust, Jayanagar, Bangalore-560 011
D.A. PANDU MEMORIAL R.V. DENTAL COLLEGE & HOSPITAL
Affiliated to RGUHS & Recognised by D.C.I.
Estd: 1992 CA37, 24th Main, I Phase, J.P.Nagar, Bangalore - 560 078, Karnataka.

Phone No.: 26345754, 26547053, Fax: +91-80-26658411
email: rvdc@vsnl.com Website: http://www.rvdentalcollege.org

APPLICATION FOR ADMISSION TO I BDS COURSE

1. Name of the Applicant
     (IN BLOCK LETTERS)
 
2. Name of the Parent
     (IN BLOCK LETTERS)
   

a) Occupation


 ..........................
 
  b) Annual Income    ..........................
3. Address for Correspondence
     (IN BLOCK LETTERS)
 
Door No./Street  
Town/City  
State  
Country  
PIN Code  
STD Code with Tel.No.  
4. Permanent Address
     (IN BLOCK LETTERS)
 
5.a) Nationality  
   b) Sex    Male / Female
   c) Date & Place of Birth
dd
   
  mm
   
  yyyy
       
 
6. Details of qualifying Examination Passed:
Examination Name of the University Year of passing Optional subjects (Science subjects) Marks in Sciences Subjects(Excluding Mathematics)
Marks Obtained Maximum Marks
Pre-University or Intermediate Examination (10+2 years course)        
Total Percentage of Marks obtained in Physics Chemistry and Biology :
 
Institution State Year Class
1        
2        
3        
4        
     
8) ComedK - Admission Card No.
  Ranks  
 
       
     
Signature of the applicant
       
 
  INSTRUCTION TO APPLICANTS    
   
  1. Duly filled and signed application along with Photostat copies of :
    1. ComedK Admission Card / Rank card,
    2. X Standard Marks Card
    3. XII / II PUC Marks Car.
  2. 4 passport size photographs
  3. DD for Rs.1000/- drawn in favour of Principal, R.V.Dental College payable at Bangalore should be sent along with the application form to the College office.

 

Tentative dates of Counselling on Monday the 4th July 2005 & Tuesday 5th July 2005.

Further details will be put on the website in due course of time.
PRINCIPAL


                                                                                      02.06.2005

The students those who apply to this college are requested to send a copy of the application to the following address :

The Chairman

Committee for Overseeing the Entrance Test conducted by

Association of Private Professional Colleges

CET Cell Premises, 1st Floor, 18th Cross

Sampige Road, Malleswaram,

Bangalore 560 003.                                                    PRINCIPAL.

 

 

       
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