Jaipur Dental CollegeApplication Form Applicant DetailsFull Name How did you come to know about us? — Select —GoogleSocial MediaTV AdsRadio Ads Email Address Phone Number WhatsApp Number Date of Birth Gender Education Level — Select —12th Level / EquivalentBDS / EquivalentMDSDiplomaPhDOther Address Program Selection Program Category — Step 1: Select Category—MDSBDSPhDDiplomaFellowship Programs Program — Step 2: Choose Program — Payment Details Payment Method — Select —Bank DepositUPII have already paid (upload slip) Admission /Token Fee Upload Payment Slip Documents UploadEducational Documents (Required) Passport Photo Consent DeclarationI have provided accurate and complete information.I understand this information is used for admission processing.I agree uploaded documents may be verified.Submission of this form does not automatically confirm admission. The process includes verification of documents and other relevant information.I confirm all documents are genuine.I consent to receive official communication via Email/Phone/WhatsApp. Admission to the MDS & BDS program will be strictly through NEET-UG / NEET PG counseling conducted as per government regulations.All applicants must qualify the NEET examination (UG for BDS, PG for MDS) and obtain the required eligibility rank/score to be considered for admission The college admission team will assist and support students throughout the admission process, including guidance on documentation, counseling registration, and other required process.Instructions to Applicants: Before proceeding with any course selection, applicants are strongly advised to first consult and confirm with the Admission Team whether seats are still available. This precaution will help avoid any conflict or misunderstanding in case the course is already full. Bank Deposit (National): BANK NAME: HDFC Bank ACCOUNT NAME: Jaipur Dental College ACCOUNT NO: 00542000004327 BRANCH: C-Scheme IFSC/ RTGS Code: HDFC0000054 CURRENCY: 50,000 INR (AdmissionFee) I have read and agree to the above declaration. Submit Application
