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MAIDENTS
Alumni of Old Dental Students

Dear Friends,

It is time to update the details of the Alumni, please fill this form online & review these details before submitting. If you have your scanned photograph present & from the days of your joining MAMC please send them as attachment. We will surprise you on the website.

Please ask your friends to fill this form too.

MAIL PHOTO TO drsmyle@yahoo.com WITH SUBJECT “ALUMNI PHOTO”

Regards & best Wishes

Dr. Bhavindra Tyagi
President, MAIDENTS
Tel. : + 91-11-22376148, 9810409472

Dr. Saranjit Singh Bhasin
General Secretary MAIDS ALUMNI (MAIDENTS)
Asstt. Professor
Prosthodontics
Tel. : + 91-9212098363

Dr. Harpreet Grewal
Professor of Pediatric Dentistry
Tel. : + 91-11-23239271
Ext. : 326
 
 
 Patron  Prof. Mahesh Verma
 President  Dr. Bhavendra Tyagi - 9810409472
 Gen Secrtary  Dr. Saranjit Singh Bhasin - 9212098363
 Vice President  Dr. Harpreet Grewal
 Vice President  Dr. Seema Kapilla
 Treasurer  Dr. Sanjay Bansal
 Jt. Secretary  Dr. Anup Kanase
 Jt. Secretary  Dr. Ravi Ahuja
 
 
UPDATE YOUR DETAILS
 

 
First Name *
:
Middle Name :
Last Name * :
Date Of Birth * :
Year of Passing * :
Other Qualifications :
Occupation : ,
Country *
( If other than India, specify)
:
Spouse Name :
Spouse Occupation :
E-Mail * :
Website :
Address Clinic/Office :
City :
State :
Address Home :
City :
State :
Dental Council Reg. : State :
Children Name :
   
   
Marriage Anniversary :
Blood Group :
Can you help the College in any way :
Can you help the Alumni in any way :
Whether scanning & mailing photograph :
 
* These fields are mandatory.