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| WEST BENGAL DENTAL COUNCIL Certificate of Registration under Dentist Act, 1948 ( XVI of 1948 ) This is to certify that the person named below has been registered as a Dentist under Section 33/34, of the Dentists Act, 1948, (XVI of 1948 ) |
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| Doctors Regd. No: | 1081-A | |||||
| Name: | SOUMEN CHAKRABORTY | |||||
| Son of: | NIRAMAL KUMAR CHAKRABORTY | |||||
| Date of Birth: | 19-Jul-1962 | |||||
| Sex: | MALE | |||||
| Nationality: | INDIAN | |||||
| Residential Address: | NAZRUL SARANI, SWAMIJI MORE, ASRAMPARA, SILIGURI-734001, W.B. | |||||
| Date of 1st Admission in to the Register: | 19-Sep-1986 | |||||
| Qualification for Registration: | BDS | |||||
| College / University: | UNIVERSITY OF CALCUTTA | |||||
| Certificate valid till: | LIFE-TIME | |||||
| Date of Degree Or Diploma in Dentistry: | 1985 (held in 1986) | |||||
| Additional Qualification- 1: | MDS (CONSERVATIVE DENTISTRY) | |||||
| College / University: | UNIVERSITY OF CALCUTTA | |||||
| Date of Degree Or Diploma in Dentistry: | 1990 | |||||
| Additional Qualification- 2: | ||||||
| College / University: | ||||||
| Date of Degree Or Diploma in Dentistry: | ||||||
| Remarks: | ||||||
| Photo: |  | |||||