All India Institute Of Medical Sciences, New Delhi

Ansari Nagar, New Delhi - 110029

Common Recruitment Examination(CRE) 2024

Applicant Registration Form

Basic Details
Candidate id 2463464545 Application Date Jan 30, 2025

Applicant's name Raveena Thakur Registration number 1384605734

Dental Hygienist/Technical Officer/Dental Mechanic/Technical

Notice Officer/Dental Technician(Hygiene)/Dental
Advertisement Number No.171/2025 Applied Post in Group Technician(Mechanic)/Dental Technician Grade II/Technical
Officer (Dental)/ Dental (Technician)

Group Code 30

Selected Qualification (s) / set (s) as applicable to make you eligible for the selected post as per the advertisement. (Your eligibility is subject to
verification as claimed here.)

Set no. Sets

1. 10+2 with science from a recognized university/board 2. Diploma (minimum 2 years duration) from a recognized Institution in
Set 1 Dental Hygiene or Dental Mechanic; or Maxillo-facial prosthesis and Orthodontic appliances 3. Registered as Dental
Hygienist/Dental Mechanic with the Dental Council of India 4. 5 years' experience in the relevant field

1. 10+2 or equivalent qualification with Science from a government recognized Board or School. 2. Diploma (two years duration)
Set 2 in Dental Mechanics from an institute recognized by the Dental council of India for such purpose. 3. Should be registered with the
Dental Council. 4. Two years’ experience in the relevant field from recognized hospital.

(i) Matriculation or equivalent from a recognized university/Board. (ii) Diploma/Certificate from a recognized Institution in Dental
Set 5 Mechanic or Maxillo-facial prosthesis and Orthodontic appliances. (iii) Registered as Dental Mechanic with Dental Council.

PWBD No PWBD percentage N/A

PWBD Category N/A PWBD Sub Category N/A

Which facility do you require to appeare in the exam? N/A

Category as Notice regarding identification of Posts

suitable for PWBD see Section XVII- Annexure-V of
Notice No-171/2025

Father's Name DEEP RAM Mother's Name SHEELA DEVI

Category UR Nationality Indian

Are you a Ex-

State of Domicile Himachal Pradesh serviceman/Commissioned No
Officer(including ECO,SSCO)

Service Provided in (Name of

Armed forces) N/A Service Start Date N/A

Service End Date N/A Length of service(In Days) N/A

Are You Regular Govt. Servant? No Name of Institution/Organization N/A

Type Of Organization N/A Type Of Job Status N/A

Present Position Held N/A Date Of Appointment From N/A

Till Date N/A Length of service(In Days) N/A

Are you Employee of

No Type of Employement N/A
Participating AIIMS/Institute?

Name Of Institute N/A Date Of Appointment N/A

Till Date N/A Length of service(In Days) N/A

Marital status Married Gender Female

Had you ordinarily been domiciled in the State of

Jammu & Kashmir? No
 Are you Service Clerks in the last year of their colour
No
service in the Armed Forces?

Are you Defence Personnel disabled in operation

during hostilities with any foreign country or in a
No
disturbed area and released as a consequence
thereof ?

Are you Widows/Divorced Women/Women judicially

No
separated and not remarried?

Date of Birth Jul 18, 1994

ID Proof
Id Proof Id Proof Number

Aadhaar Card 493973218527

Contact Details
Alternate
Phone no E-mail id Postal address Permanent address
Number

vill.-plata, p.o.-danoghat, teh.-arki, distt.- vill.-plata, p.o.-danoghat, teh.-arki, distt.-solan,

7018298197 9459512677 [email protected]
solan, Arki, Himachal Pradesh, India 171102 Arki, Himachal Pradesh, India 171102

Payment details
Mode Date Transaction id Amount

SBI Jan 31, 2025 B101535674936 3000

Educational Qualification
Name of
S. Place of Date of Obtain
the Subject/Discipline/Title University/Institute/College Certificate
Number University/Institute/College Passing percentage
Degree

1-applied physics,chemistry and

mechanics, 2-dental mechanics 3-
applied oral anatomy, 4 dental
dental govt. dental collage and Oct 19,
1 mechanics (final), 5-dental shimla 56.22
mechanic hospital, IGMC Shimla 2016
meterials and metallurgy, 6-besic
knowledge of computer and
medical records management

2 10+2 English, physics, biology, HP board Arki, solan Sep 30, 57.8
chemistry, physical education 2013

Registration Details:
Registered as Registration No State Name Issuing Date of Registration Registering Authority Registering Certificate

Himachal Pradesh state

dental mechanic DM-294 Himachal Pradesh Nov 18, 2016
Dental Council

Experience Details
Length of
S. Organization Position Employee Currently Start End
Nature Of Duties service(In Certificate
Number Name Held Type Working Date Date
Days)

Dec teeth setting, orthodontic

Abhinav Dental dental Temporary/Ad- Jan 1,
1 No 31, appliances, impression taking, 730
Clinic mechanic hoc 2017
2018 assit the dentist in surgery,

Teeth setting, orthodontic

Pathania dental Dental Temporary/Ad- Jan 1,
2 Yes N/A appliances, impression taking, to 2223
clinic mechanic hoc 2019
assist doctor in case.

Examination State Choice

# First Preference Second Preference Third Preference Fourth Preference

State Himachal Pradesh Chandigarh Delhi Any where in India

Certificates
No Objection Certificate -- Category Certificate --

Category Certficate No. N/A Category Certficate Issue date N/A

PWBD Certificate -- PWBD Appendix A-1/A-2/A-3 Certificate --

Date Of Birth Certificate

UNDERTAKING/DECLARATION
I hereby declare:
(i) I understand that merely applying does not guarantee my candidature/ eligibility/ seelction, which will be subject to verification.

(ii) That the information furnished by me in the Registration/Application Form is correct and nothing has been concealed. In case any information furnished by me is
found to be false/incorrect/untrue then I shall be liable to civil/criminal prosecution and my claim to admission/appointment/registration/ service in the Institute may be
cancelled/terminated.

(iii)That I have read the Detailed Recruitment Advertisement and agree to abide by the terms and conditions.

(iv) That I authorize AIIMS, New Delhi to use my information provided in application for the purpose as decided by AIIMS, New Delhi including sharing with other
associated with recruitment process at the discretion of AIIMS, New Delhi.

Signature of Candidate Thumb of Candidate