ORIGINAL

  • Maharashtra State Dental Council

  • Address:

    Govt. Dental College & Hospital,

  • 3 floor, St. George Hospital Compound,

  • Near CST Railway Station,

  • Fort, Mumbai-400001

  • Website:

    msdcmumbai.org.in

  • Fax:

    +91 022 22617634

  • Telephone:

    +91 022 22617644

  • Receipt No.:

    355818

  • Date:

    26-02-2024

Received with thanks from

GONJARI MRUGENDRA GANPAT

Online

A-9036

Amount mentioned in item

b, b

below

  • RFPF For Dentist Of Rs 600 For Year 2023
    Renewal Fee For Dentist Of Rs 500 For Year 2024
Total Amount (Rs.):- 1100/-
Remark :-
Registrar
Maharashtra State Dental Council
Your registration is valid up to 31-December-2024
(a) Registration fee-Dentists Rs. 1500 /- Dental Hygienists Rs. 500 /- Dental Mechanics Rs. 500 /-
(b) Renewal fee-Dentists Rs. 500 /- Dental Hygienists Rs. 200 /- Dental Mechanics Rs. 200 /- For Year 2024
(c) Duplicate Copy of Certificate fee-Dentists Rs. 1000 /- Dental Hygienists Rs. 500 /- Dental Mechanics Rs. 500 /-
(d) Rs. ______ being the price of the Maharashtra State Dentists/Hygienists/Mechanics. Register____________
(e) Penalty Fee under rule 65(3) for Dentists Rs. 100 /- Dental Hygienists Rs. 100 /- Dental Mechanics Rs. 100 /- For Year 2023 to 2023
(f) Rs. 500 under section 40.
(g) Rs. 500/- being the for registration of a change of name.
(h) Fee For restoration of a name to the Register under section 42-Dentist Rs. 0 /- Dental Hygienists Rs. 0 /- Dental Mechanics Rs. 0 /-
(j) As Deposite Only.
(k) As Bank commission.
(l) Miscellaneous.
Print Receipt
FORM C-3
[See rule 65 (2)]
Certificates of renewal of registration under section 39(3) of the Dentists Act, 1948 (XVl of 1948).
Extension Office
Govt. Dental College and Hospital,Third Floor, ST. George Hospital Compound,Near C.S.T. Railway - Station,Mumbai-4oo001
Administration Office
211, Anand Complex, 2nd Floor, 189 - Sane Guruji Mar& Aurthor Road Naka,Chinchpokali (West), Mumbai - 400 011

This is to certify that the registration of Dentist

GONJARI MRUGENDRA GANPAT

Registered at No.:

A-9036

is renewed on the

26day of Feb2024and will remain in force up to the 31st day of December 2024
Registrar,
Maharashtra State Dental Council,
Mumbai
These Rules were last amended by Government Notification Urban Development Public Health and Housing Department, No.AGT-1373/68888/5, Dated 12th July 1974, published on p.342 in Maharashtra Government Gazette, Part lV-A, Dated 25th July 1974.
This is a computer generated receipt and does not require any signature.