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(+91) 9819719655

Email Us

isoi0050@gmail.com / rikingogri@gmail.com


Note


Please ensure the following are ready before you begin filling the form -
1) BDS Degree Certificate (PDF only).
2) Dental Council Number/State.
3) Payment Transaction Number and Transaction Copy, if paid Offline (PDF/Image).


To complete membership registration, the following fields are mandatory:

Membership Type, Name, Gender, Country, State, City, Address, Pincode, Nationality, Email ID, Contact Number, Date of Birth, Referred By, Clinic Address, Photo, Degree, Year, College/University, Dental Council Registration No., Dental Council State, Field of Practice, BDS Certificate, Password, and all payment details.


Membership Type *




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