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TATA MEMORIAL CENTRE
टाटा स्मारक केंद्र
A Grant-in-Aid Institution Under Department of Atomic Energy Govt.of India
प ऊ वि भारत सरकार का एक सहायता अनुदान प्राप्त संस्थान

Personal Information

APPLICATION SUBMITTED

Application No

M/VAR/2023/001/15703

Advertisement No

VAR/2023/001

Post Applied For

MEDICAL OFFICER E (ORAL SURGERY)

You Belongs To

OPEN

Name

Dr. VARUN SHUKLA

Date Of Birth

16-04-1995

Age as on Advertisement Last Date

27 Years 9 Months 30 Days

Gender

Marital Status

Single

Religion

HINDU

Nationality

India

Parent/Spouse Name

VIJAY SHUKLA

Present Address

FLAT NO. 24, BLOCK C-2, CHOUHAN TOWN, JUNWANI ROAD

City

Bhilai

Pin code

490020

State

Chhattisgarh

Tel No

Mobile No

7259617742

Email

v.shukla095@gmail.com

Permanent Address

FLAT NO. 24, BLOCK C-2, CHOUHAN TOWN, JUNWANI ROAD

City

Bhilai

Pincode

490020

Pancard No

HRWPS8800J

Whether Physically Handicap

Whether Ex Serviceman

Employee Type

OTHER

Project / Agency Name

CCNO

Worked From

Worked To

Have You applied for employment in TMC

Education Details

Sr.No	Degree	Subject	Institute/college	University	Duration of Course	Course Type	Year/Month	Percentage	Result Awaited	Certificate Enclosed
1	MDS	ORAL AND MAXILLOFACIAL SURGERY	JSS DENTAL COLLEGE & HOSPITAL MYSURU	JSS ACADEMY OF HIGHER EDUCATION	3 YEARS	FULL TIME	JUL2022	71.14	N	Y
2	BDS	DENTISTRY	MANIPAL COLLEGE OF DENTAL SCIENCES MANIPAL	MANIPAL ACADEMY OF HIGHER EDUCATION MANIPAL	5 YEARS	FULL TIME	AUG2017	70.83	N	Y

Qualificational / Educational Certificates Attached by Candidate

Medical Council Registration / Authority Details (Only for Medical, Para Medical Candidates )

Registration Category :

KSDC

Registration Number :

42385 A

Current Employement Details

Whether Proof for Current Employment Attached:

Whether Applicant is in service of Govt./ Semi.Govt./ PSU:

Whether application is routed through proper channel :

Notice require for joining the post :

0 days

Particular's about Pension/ Provident Fund. etc. :

None

Gap In Experience

GAP IN EXPERIENCE :

GAP INFORMATION :

Professional/Teaching Experience Details (Training period will not counted as Experience)

Sr.No	Post	Specialization	Institute	University	Salary	From Date	To Date	Total Years	Total Months	Total Days	Experience Type	Certificate Enclosed	Service Type
1	ORAL AND MAXILLOFACIAL SURGEON	ORAL AND MAXILLOFACIAL SURGERY	Freelance	NONE	480000	02-08-2022	26-01-2023	0	5	24	N	N	Private
2	Surgical Observer	DEPARTMENT OF ENT- HEAD AND NECK ONCOLOGY	JSS HOSPITAL	JSSAHER MYSURU	0	01-03-2022	31-03-2022	0	0	30	N	Y	Private
3	SURGICAL TRAINEE	PLASTIC AND RECONSTRUCTIVE SURGERY	JSS HOSPITAL	JSSAHER	0	01-05-2022	31-05-2022	0	0	30	N	Y	Private
4	SURGICAL OBSERVER	HEAD AND NECK ONCOLOGY AND RECONSTRUCTIVE SURGERY	SHARAD PAWAR DENTAL COLLEGE & HOSPITAL	DMIMSU (DU) WARDHA	0	03-02-2022	26-02-2022	0	0	23	N	Y	Private

Total Experiene : 0 Years, 8 Months, 17 Days

Experience Certificates Attached by Candidate

Guide or Examiner for Any Subject

Are you, or were you as a recognized guide or examiner for any subject :

Name of Subject :

University :

Publication and Research Work



Type of Publication	No. of published or Accepted	No. as First Author or Corresponding author
Original Research Papers in Indexed Journals	1	1
Other publications in Indexed Journals	2	2
Research Papers in non-Indexed Journals	0	0
Text books or Monographs or Thesis	1	1
Chapters in text books or Monographs	0	0
Abstracts in Indexed Journals	1	1
Unpublished abstracts presented at conferences	1	1

Research Project

Sr.No	Short Title of project	Role in the project	Source of Funding	Total Value	Year
1	EVALUATING THE ROLE OF CHITOSAN DENTAL DRESSING IN HEMOSTASIS ANS WOUND HEALING IN PATIENTS ON ANTIPLATELET THERAPY	Principal Investigator	JSSAHER	10000	2022

Other Information

Awards,Fellowships and Membership of Professional bodies (max 200 Words ) : Gold Medal for securing highest marks in Oral and Maxillofacial Surgery by JSSAHER, Mysuru Life Member AOMSI LM 6925 Member AOCMF

Membership of professional bodies(max 200 Words ) : Life Member AOMSI LM 6925 Member AOCMF

Reviewer or Member of Editorial Board of Indexed Journals or Peer-review Committees ofNational Bodies, Institutions, etc.(max 200 Words ) : Reviewer for European Journal of Dentistry JOURNAL OF DERMATOLOGY AND CLINICAL RESEARCH

Service: Contributions towards setting up of new unit/ specialty/ service/ laboratory/programs/ or Therapeutic/ diagnostic procedures developed or patents obtained (enclose supporting documents) . (max 200 Words ) :

Contributions in Community or National Programs. (max 200 Words ) : Member of Volunteers Service Organisation Manipal Taken part in various dental outreach and Cancer awareness programs in undergraduate and postgraduate course duration

Describe (in 150 words) your most notable contribution in Service, Teaching or Research. : I completed my Bachelor of Dental Surgery (BDS) degree from MCODS, Manipal, where I was ranked as the top student in my class. During my time at MCODS, I was highly active in various extracurricular activities that allowed me to further develop my skills and knowledge in dentistry. I participated in numerous Continuing Dental Education (CDE) programs and was a member of the Student Research Forum. Additionally, I was a member of the Voluntary Services Organization and participated in cancer screening and other outreach programs. My passion for oral and maxillofacial surgery led me to excel in this field, and I was awarded the gold medal for having the highest marks at JSS Dental College. My passion for research led me to conduct a thesis dissertation on "Evaluating the role of chitosan dental dressing in hemostasis and wound healing in patients on antiplatelet therapy." I secured an institutional grant for this research and was able to publish my findings in the official journal of the American Association of Oral and Maxillofacial Surgeons (AAOMS). I have also published abstracts, two case reports, and one original research in internationally reputed indexed journals. This recognition is a testament to my commitment to advancing the field of dentistry through my research contributions. I have also been actively involved in the clinical and academic training of undergraduates posted in the Department of Oral and Maxillofacial Surgery.

Any other information you wish to add :

Refree Details

Sr.No	Name	Designation	Address	Tel No	Email
1	KM Cariappa	Adjunct Professor, Department of OMFS	JSS DENTAL COLLEGE AND HOSPITAL,SS NAGAR, BANNIMANTAP B LAYOUT, MYSURU	9845215126	kmcoriginal@yahoo.com
2	Sujeeth Kumar Shetty	professor and head, Department of OMFS	JSS DENTAL COLLEGE AND HOSPITAL,SS NAGAR, BANNIMANTAP B LAYOUT, MYSURU	9741517281	shettymaxfax@gmail.com
3	SATHISH RADHAKRISHNA	Professor, Department of OMFS	JSS DENTAL COLLEGE AND HOSPITAL,SS NAGAR, BANNIMANTAP B LAYOUT, MYSURU	9845310737	drsathish75@gmail.com

List of Documents Attached By Applicant

Date of Birth Proof Attached by Candidate

Declaration by Applicant

I hereby declare that all the information and particulars given by me in this application are true and correct to the best of my knowledge. I am aware that if any of the above statements are found to be incorrect or false or may material information or particulars of relevance have been misstated, suppressed or omitted, I am liable to be disqualified for training and if selected, my appointment will be liable to be terminated.

Applicant's Signature

Important Instructions

Incomplete forms will be rejected.

Please fill up all items in the application form, attach relevant documents and certificates and sign the declaration.

All certificate copies will be verified with the originals at the time of interview.

Suppression of any information will lead to termination of service without any intimation.

Any doubts regarding the post / form may be clarified by emailing to : as mentioned in advertisement copy

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