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Union of India - Section

Section 15 in Continuing Dental Education Regulations, 2018

15. Self Assessment Forms for CDE points.

Dental Council of IndiaSelf DeclarationFor the Block Year 01.04. -- to 31.03.20• I have fulfilled/I have to fulfil the mandatory CDE requirement for the above mentioned block year.• I have submitted / I will submit the necessary documentary proof in support of verifiable CDE points.• I have earned / will earn...............................CDE Points in the year.............................................• I am aware about CDE Program and I will attend the CDE Program and will submit the relevant documents wherever it is necessary.• Whatever stated herein above is true and correct to the best of my knowledge and belief.
Name_____________________________________________________________________________________________Father/Mother's Name_______________________________________________________________________________Date of________________________________________________ Birth______________________________________Registration No._____________________________________________________________________________________Address_______________________________________________________________________________Phone_________________________________________________________________________________________Mobile____________________________________________Email ID___________________________________________________________________________________________Dated_____________________________________________________________________________________________
Dated:Signature