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 ) |
||||||
Doctors Regd. No: | 7101-A | |||||
Name: | SHAMA KHANAM | |||||
Daughter of: | SHEIKH SAIMUDDIN | |||||
Date of Birth: | 20-Sep-1991 | |||||
Sex: | Female | |||||
Nationality: | INDIAN | |||||
Residential Address: | NTPC FARAKKA, QTR NO.B-172, P.O.PUBARUN, DIST.MALDA, THANA-BAISHNABNAGAR, W.B., PIN-732215 | |||||
Date of 1st Admission in to the Register: | 6-Jan-2021 | |||||
Qualification for Registration: | BDS | |||||
College / University: | KOLHAN UNIVERSITY, CHAIBASA | |||||
Certificate valid till: | 31-Dec-2022 | |||||
Date of Degree Or Diploma in Dentistry: | 2019 | |||||
Additional Qualification- 1: | ||||||
College / University: | ||||||
Date of Degree Or Diploma in Dentistry: | ||||||
Additional Qualification- 2: | ||||||
College / University: | ||||||
Date of Degree Or Diploma in Dentistry: | ||||||
Remarks: | ||||||
Photo: | ||||||