Section 92, Rajasthan State Dental Council…

From the date of commencement of these rules, all various rules, notifications and orders on the subject stand repealed:

Provided that anything done or any action taken in exercise of any power under the said rules, notification and orders shall be deemed to have been done or taken under these rules.

FROM-A (See rule 8) NOMINATION PAPER Election under (a)/(b) of section 21 of the Dentists Act, 1948 Name of candidate _____________________________________________________ Father’s name ________________________________________________________ Age _________________________________________________________________ Nature of qualification under section 33 ___________________________________ Registration Certificate No. _____________________________________________ Serial No. in the electoral roll ____________________________________________ Address ____________________________________________________________ Name of proposer ___________________Name of Seconder __________________ Proposer’s Regn. Certificate No ________Seconder’s Regn. Certificate No. ________ Proposer’s S.No. in the electoral roll Seconder S.No. in the electoral roll _______________________________ ________________________________ Qualifications ___________________ Qualifications _____________________ Address ________________________ Address __________________________ _______________________________ _________________________________ Signature _______________________ Signature _______________________ Declaration by the candidate I hereby declare that I agree to this nomination Signature of the candidate This nomination per received by me on ____________________________ at hour ________________________ Returning Officer 153 ¼79½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½ FROM-B [See rule 14 (4)] DECLARATION PAPER Elections to the Rajasthan State Dental Council under clause

(a)/(b) of section 21 of the Dentists Act,1948.

Serial Number ____________________ Elector’s name ____________________ Serial number on the electoral roll __________________ ELECTOR’S DECLARATION I __________________________________(Name in full, and designation if any) declare that I am an elector for the election of a member to the Rajasthan State Dental Council by the electorate under clause (a)/(b) of section 21 of the Dentists Act, 1948, and that I have signed no other voting paper accept this celebrate.

Station ________________ Signature ____________________________ Date __________________ Address _____________________________ FROM-C [See rule 14 (3)] VOTING PAPER Elections to the Rajasthan State Dental Council under clause

(a)/(b) of section 21 of the Dentists Act,1948.

S.No. _____ Name of candidate _______________________ Vote ______________ Duly Nominated _____________________________ Instructions

1. The number of vacancies to be filed is ___________________________________

2. Place a cross-mark (thus X) against the name of the candidate (or such of the candidate) for whom you wish to vote.

3. A voting paper will be invalid if –

(a) It does not bear the Returning Officer’s initials or facsimile signature, or

(b) A voter signs his name or writes a word or makes any mark on it, by which it become recognisable as his voting paper, 153 ¼80½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½ or

(d) The number of votes recorded thereon exceeds the number of vacancies to be filled, or

(e) It is void for uncertainty of one or more votes exercised.

Facsimile signature of________________ Returning Officer FROM-D [See rule 14 (4)] LETTER OF INTIMATION OFFICE OF THE RAJASTHAN STATE DENTAL COUNCIL, JAIPUR DATED _____________ SIR/MADAM, The persons whose names are printed on the voting paper sent herewith, have been nominated as candidates for election to the Rajasthan State Dental Council.

Should you desire to vote at the election. I request that you will-

(a) Fill up and sign the declaration paper.

(b) Mark your vote in the column provided for the purpose in the voting paper as directed on the voting paper.

(c) Enclose the voting paper in the smaller cover and the declaration paper in the outer envelope addressed to me and return the same to me by registered post so as to reach me not later than 5 p.m. on the______________ date of.

(2) The voting paper will be rejected, if-

(a) The outer envelope enclosing the voting paper cover is not sent by registered post or received later than the hour fixed for the closing of the poll; or

(b)The outer envelope contains no declaration paper outside the smaller cover; or

(d) The declaration paper is not the one sent by the returning Officer to the voter;

(e) More than one declaration paper of voting paper cover have been enclosed in one and the same outer envelope; or

(f) The declaration is not signed by the elector; or

(g) The voting paper is invalid.

(3) A voting paper will be invalid, if-

(i) It does not bear the Returning Officer's initials or facsimile signature; or

(ii) A voter signs his name, or writes any word or makes any mark by which it becomes recognisable as his voting paper; or

(iii) No vote is recorded thereon; or

(iv) The number of votes recorded thereon exceeds the number of vacancies to be filled, or

(v) It is void for uncertainty of one or more votes exercised:

Provided that where more than one vote can be given on the same voting paper if one of the mark is so placed as to render it doubtful to which candidate it is intended to apply the vote concerned, but not the whole voting paper shall be invalid on that account.

4. If a voter inadvertently spoils a voting paper. he can return it to the Returning Officer who will, if satisfied on such inadvertence issue to him another voting paper.

5. The scrutiny and counting of voting will begin_______________________on (date) at ___________________(hour).

6. No person shall be present at the scrutiny and counting except the Returning Officer, such other persons as he may appoint to assist him. the candidates or their duly authorised representatives.

____________________ (Returning Officer) 153 ¼82½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½ FORM E-1 (See Rule 62) FORM OF APPLICATION FOR REGISTRATION OF DENTISTS UNDER SECTION 34 OF THE DENTISTS ACT, 1948 (XVI OF 1948) To, The Registrar, Rajasthan State Dental Council, Jaipur.

Sir, I have to request you to enter my name, address and qualifications as stated below in part A/B of the register of Dentists for the State of Rajasthan.

Registration fee of Rs.__________________ (as prescribed under rule 71) only is hereby sent by Demand Draft payable to Registrar. Rajasthan state Dental Council, Jaipur.

Particulars about myself are furnished below:

Name in full (block letters only) ___________________________________________ Father's name ________________________________________________________ Place of birth, date and year _____________________________________________ Nationality (Kindly give information in details).______________________________ Whether Citizen of India by domicile/birth_________________________________ Whether subject of a foreign Government (state the Country)____________________ Residential address _____________________________________________________ Professional address ___________________________________________________ Number of years in practice _____________________________________________ Employment, if any ___________________________________________________ PHOTO 153 ¼83½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½ Particulars of the Qualifications Description of qualifications of which registration is desired.

Name of the University or Faculty or Examining or Licensing Body with Full Address _____________________________________________________________________ Date of attaining the qualification _________________________________________ Institution through which appeared ________________________________________

(2) Declaration I _____________________________Applicant) hereby declare that the statements made above are correct I further declare that I shall maintain the dignity and ethical standard of the profession in my practice as a dentist.

I undertake that I shall intimate to the Registrar any change of my address or place of practice.

The original degree, diploma or certificates of my qualification is submitted herewith it may be returned as soon as done with. Also a set of attested photo copies of submitted documents are enclosed.

Address Yours faithfully, Date ______________________ (Signature of applicant) Instructions

1. All particulars given above must be filled in by the applicant himself.

2. All particulars should be in neat legible hand.

3. Registration fees should be sent only by a Demand Draft of Bank, payable to the Registrar, Rajasthan State Dental Council at Jaipur.

153 ¼84½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½

4. Candidates should note that name entered in the application must exactly correspond with their names in the University or other Examinations as the case may be.

5. Please give below a specimen of your signature as used by you on certificates Enclose two passport size latest photographs. 6. All applicants for registration must get their signatures and photograph attested by a first class magistrate or gazetted officer.

FORM E-2 (See Rule 62) FORM OF APPLICATION FOR REGISTRATION OF DENTAL HYGIENISTS UNDERS SECTION 37 OF THE DENTIST ACT, 1948 (XVI OF 1948) To, The Registrar, Rajasthan State Dental Council, Jaipur.

Sir, I request you to enter my name, address and qualification as stated below in the register of Dental Hygienists for the State of Rajasthan.

Registration fee of Rs.____________________(as prescribed under rule 71) is sent herewith by Demand Draft payable to Registrar, Rajasthan State Dental Council, Jaipur.

Name in full (beginning with surname ______________________________________ and in block letter only) Father's name in full ____________________________________________________ Place of birth, date, month and year ______________________________________ Whether Citizen of India _______________________________________________ Nationality (kindly give information in _____________________________________ PHOTO 153 ¼85½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½ detail) Where domiciled _______________________________________________________ Residential Address ____________________________________________________ Professional Address ___________________________________________________ Number of year in practice ______________________________________________ Qualifications:

Description of qualifications of which _____________________________________ registration is desired Name of the Examining or Licensing ______________________________________ Body, with full address Institution through which appeared for ______________________________________ qualifying examination I forward herewith in original the certificates I possess together with a set of attested photo copies of the same. The original may please be returned to me when no longer required.

Dated: Name and Signature of the applicant.

INSTRUCTIONS

1. All particulars given above must be filled in by the applicant himself.

2. All particulars should be in neat legible hand.

3. Registration fees should be sent only by a Demand Draft of Bank, payable to the Registrar, Rajasthan State Dental Council at Jaipur.

4. Candidates should note that names entered in the application must exactly correspond with their names in the University or other Examinations as the case may be.

153 ¼86½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½

5. Please give below a specimen of your signature as used by you on certificates.

Enclose two passport size latest photographs.

6. All applicants for registration must get their signatures and photograph attested by a first class magistrate or gazetted officer.

FORM E-3 (See Rule 62) FORM OF APPLICATION FOR REGISTRATION OF DENTAL MECHANIC UNDER SECTION 38 OF THE DENTISTS ACT, 1948 (XVI OF 1948) To, The Registrar, Rajasthan State Dental Council, Jaipur.

Sir, I request you to enter my name, address and qualification as stated below in the register of Dental Mechanics for the State of Rajasthan.

Registration fee of Rs ____________________________(as prescribed under rule 71) is sent herewith by Demand Draft in favour of Registrar, Rajasthan State Dental Council, Jaipur.

Name in full (beginning with surname ______________________________________ and in block letters only) Father's name in full ____________________________________________________ Place of birth, date, month and year ______________________________________ whether Citizen of India ________________________________________________ Nationality (Kindly give _________________________________________________ information in details) Where domiciled _______________________________________________________ 153 ¼87½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½ Residential address _____________________________________________________ Professional address____________________________________________________ Number of years in practice ______________________________________________ Qualification:

Description of qualifications of ___________________________________________ which registration is desired Name of the Examining or _______________________________________________ Licensing Body, with full address_________________________________________ Institution through which appeared for qualifying examination I, forward herewith in original the Certificate! possess together with a copy thereof duly attested. The original may please be returned to me when no longer required.

Dated: Name and Signature of the applicant.

INSTRUCTIONS

1. All particulars given above must be filled in by the applicant himself.

2. All particulars should be in neat legible hand.

3. Registration fees should be sent only by a Demand Draft of Bank, payable to the Registrar, Rajasthan State Dental Council at Jaipur.

4. Candidates should note that names entered in the application must exactly correspond with their names in the University or other Examinations as the case may be.

5. Please give below a specimen of your signature as used by you on certificates.

Enclose two passport size latest photographs. 6. All applicants for registration must get their signatures and photograph attested by a first class magistrate or gazetted officer.

153 ¼88½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½ FORM F-1 [See Rule 61 (1)I FORM OF THE REGISTER OF DENTISTS, PART A/B

1. Serial No. __________________________________________________________

2. Names in full _______________________________________________________

3. Father's Name ______________________________________________________

4. Date of birth ________________________________________________________

5. Nationality_________________________________________________________

6. Residential Address__________________________________________________

7. Date of first admission to the Register___________________________________

8. Qualification for registration____________________________________________

9. Date on which the qualification obtained and the authority which conferred it ___________________________________________________________________

10. Professional address_________________________________________________

11. Employment, if any__________________________________________________

12.Date of renewal of registration__________________________________________

13.Remarks (Note: ‘Removal’ or ‘Restoration’ of name with dates ____________________________________________________________________ FORM F-2 [See Rule 61(2)] FORM OF THE REGISTER OF DENTAL HYGIENIST

1. Serial No ___________________________________________________________

2. Names in full _______________________________________________________

3. Father's Name _______________________________________________________

4. Date of birth ________________________________________________________ 153 ¼89½ jktLFkku jkt&i=] flrEcj 23] 2008 Hkkx 4 ¼x½

5. Nationality__________________________________________________________

6. Residential Address___________________________________________________

7. Date of first admission to the Register____________________________________

8. Qualification for registration____________________________________________

9. Date on which the qualification obtained and the authority which conferred it ___________________________________________________________________

10. Professional address___________________________________________________

11. Employment, if any___________________________________________________

12. Date of renewal of registration__________________________________________

13. Remarks (Note:- ‘Removal’ or ‘Restoration’ of name with dates) ____________________________________________________________________ FORM F-2 [See Rule 61(2)] FORM OF THE REGISTER OF DENTAL MECHANICS