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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/2023/001/17638

Advertisement No

VAR/2023/001

Post Applied For

MEDICAL OFFICER E (ORAL SURGERY)

You Belongs To

Name

Dr. Srishti sudhir salunke

Date Of Birth

17-11-1995

Age as on Advertisement Last Date

27 Years 2 Months 29 Days

Gender

Marital Status

Single

Religion

HINDU

Nationality

India

Parent/Spouse Name

Dr.Sudhir salunke

Present Address

601-2, building no-7,shanti garden sector-4,behind mhada, miraroad east

City

thane

Pin code

401107

State

Maharashtra

Tel No

09819649036

Mobile No

9819649036

Email

srishti100salunke@gmail.com

Permanent Address

mira road east

City

thane

Pincode

401107

Pancard No

FHXPS1513M

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	rural dental college	Pravara institute of medical sciences	THREE YEARS	FULL TIME	MAY2022	55.00	N	N

Qualificational / Educational Certificates Attached by Candidate

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

Registration Category :

DCI

Registration Number :

A-40907

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 :

15 days

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

nil

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	Observer	MDS	tmc	tmc	0	18-07-2022	15-01-2023	0	5	28	N	N	Govt.

Total Experiene : 0 Years, 5 Months, 28 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	0	0
Other publications in Indexed Journals	0	0
Research Papers in non-Indexed Journals	0	0
Text books or Monographs or Thesis	0	0
Chapters in text books or Monographs	0	0
Abstracts in Indexed Journals	3	1
Unpublished abstracts presented at conferences	5	0

Research Project

There are no Research Project details to display.

Other Information

Awards,Fellowships and Membership of Professional bodies (max 200 Words ) : 3rd price in paper presentation (non AP), St. Joseph dental college, ELLURU.13th ANNUAL AOMSI CONFERENCE AP STATE.CHAPTER. 3RD price in paper presentation, Tagore dental college and hospital, 5TH ACOMS CONFERECE. PAPER at 9th Annual conference of Gujarat state chapter and 1st joint Gujarat Rajasthan State chapter 2021 E-POSTER on “EFFICACY OF ROPIVACAINE: AS LOCAL ANESTHETIC AGENT” 44TH Annual conference AOMSI, Bengaluru. E- POSTER on CHANGING TRENDS IN HEAD NECK ONCOLOGY at CDE programme of Maharashtra state chapter AOMSI 2022, Mumbai.

Membership of professional bodies(max 200 Words ) : AOMSI FHNO

Reviewer or Member of Editorial Board of Indexed Journals or Peer-review Committees ofNational Bodies, Institutions, etc.(max 200 Words ) :

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 ) :

Describe (in 150 words) your most notable contribution in Service, Teaching or Research. :

Any other information you wish to add :

Refree Details

Sr.No	Name	Designation	Address	Tel No	Email
1	Dr Pankaj Chaturvedi	proffessor	TMC, Mumbai	9869486912	chaturvedi.pankaj@gmail.com
2	Dr Arjun Singh	consultant	ACTREC, Mumbai	9743764783	arjun193@gmail.com
3	Dr Seemit Shah	proffessor and HOD	Rural dental college	9823129828	nirav_seemit@yahoo.com

List of Documents Attached By Applicant

Date of Birth Proof Attached by Candidate

Cast Certificate 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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