Student Life Members: Rs. 5000.00 for the period of post graduate course and for the life time.

Annual Members: Rs. 500.00 per year

Life Members: Rs. 5000.00 for life time

Entrance Fee: Rs. 100.00 (only for first time Annual Members)

Associate Life Members: Rs. 6000.00 for life (Non Maxillofacial Surgeons only)

Associate Annual Members: Rs. 600.00 per year (Non Maxillofacial Surgeons only)

Affiliate member US $ 300 for lifetime


 
 
APPLICATION FOR MEMBERSHIP - LIFE MEMBER
 
  * Fields are mandatory
Membership Type :
Name : *

Gender :
Photo : * 
Correspondence Address : *
Pincode :
Select State :
Correspondence Mobile Number : *
Correspondence Fax Number :
Correspondence Email ID  : *   
Residence Address  :
Pincode :
Select State :
Residence Contact Number :
Qualification :
Certificate
Graduadtion (BDS)*
Post Graduadtion (MDS)*
Others
Dental Council Registration Number :
Name of the State Dental Council :
Membership with other Professional Associations :
 Payment :
Amount Paid Date
DD.Number Bank
 
 
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