Bakson Appl

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Curriculum Vitae

1. Name of the applicant in full : Dr. SWAYAM PRAVA DAS


2. Husband’s Name : BISWARANJAN DAS
3. Religion and Caste : HINDU / GENERAL
4. Address in Block letters with PIN code
a) Permanent : W/O -BISWARANJAN DAS
VILL - ANGARAKHA
PO - SAHIRA
DIST - KENDRAPARA
STATE - ORISSA
PIN - 756001

b) Correspondence : C/o - YASODA RAMANI


30/951, 1st FLOOR, DDA FLATS
MADANGIR, NEW DELHI - 110062

c) E-mail ID : [email protected]
d) Mobile/land line Phone No. : 9868070083 / 9818441860
5. Date of birth and age on : 26.06.1979
6. Educational qualifications
Qualifications Year of Awarding authority Year of completion of
passing Internship training
Matriculation(10th) 1994 BSE, Odisha
High Secondary(10+2) 1996 CHSE, Odisha
BHMS 2000 Sambalpur University, Odisha 2003

7. Particulars of Registration, if applicable


Registration Date of Authority giving Status of Renewal of
No. Registration Registration Registration
C/3012 13.3.2002 The Registrar, Orissa State Active
Board of Homoeopathic
Medicine, Bhubaneswar,
Odisha

8. Other information, if any: I used to work in my father’s clinic in Odisha before marriage. After
marriage, I moved to Delhi and we have a small home clinic with very less patients. My husband is
working with Wipro. My kid has started going to school and has become independent. So, now I have
decided to join a clinic and handle more patients.

I acknowledge that the information given above is correct to the best of my knowledge.

Place : New Delhi


Date : 22nd Sep 2015 Signature of Applicant

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