IIDC 2018 Registration Form
Salutation *
First Name *
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Middle Name
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Surname *
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Correspondence Address *
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City *
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State *
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Pincode *
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Country *
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Clinic Telephone *
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Fax
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Mobile *
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Residence Telephone
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Email *
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Please confirm your registration plan. *
Registration for Congress is NOT mandatory for selection of Precongress. Note: All foreign national delegates to pay an additional amount of INR 1000 towards currency conversion charges levied by our bank.
Mode of Payment *
Full payment at the time of booking should be made in favor of "India International Dental Congress"payable at Mumbai and sent to 13,Geetanjali,234 S V Road,Opp Pride Showroom,Bandra (w),Mumbai 400050. Bank Transfer Details: Indusind Bank Ltd; Acc no 200000314396;Account name:Smile Care Clinic (P) Ltd;IFS Code INDB0000003; Branch address: Bandra Indusind Centre, 231, S V Road, Bandra(w), Mumbai-400050
Total Registration Amount *
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I agree to receive updates regarding the IIDC & other CDE programs conducted by Smile Care, Mumbai

Address: IIDC Congress Secretariat: 1C 3-3,2,Sujata Niwas,S V Road,Bandra(W),Mumbai 400050
Email: info@iidc.in

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