REGISTRATION FOR THE 40TH TDA SCIENTIFIC CONFERENCE  & AGM 2025, DODOMA , 26TH -28TH NOV, 2025.


The Tanzania Dental Association (TDA) is delighted to invite you to the 40th SC and AGM, which will take place at Mtumba - City council Hall (DODOMA)

  1. Registration: Complete the registration form only if you plan to attend the conference.

  2. Payment: Confirm your participation by paying the full amount according to your category through any of the following methods:

    • NMB Bank Account: 20910006526 (Tanzania Dental Association)
    • CRDB Bank Account: 0133531158700 (Tanzania Dental Association)
    • TDA M-PESA LIPA NAMBA: 5754445 (Tanzania Dental Association)

  3. Non-Refundable Payment: Please note that payments are non-refundable in the event of non-attendance.

We look forward to your participation!

Sign in to Google to save your progress. Learn more
TITLE/INITIALS *
FIRST NAME *
MIDDLE NAME *
SURNAME *
MCT REGISTRATION NUMBER
AS SEEN IN YOUR MCT ACCOUNT
COUNTRY OF ORIGIN *
REGION (FOR TANZANIANS)
PROFESSIONAL STATUS/RANK *
choose only one option
WORK STATION *
WILL YOU PARTICIPATE IN PRE CONFERENCE ACTIVITIES? *
We will conduct oral health outreach program in primary schools and to children with  special needs
MOBILE NUMBER *
Preferably one with WhatsApp. DO NOT INCLUDE 0, (eg. +255713503879)
EMAIL ADDRESS *
REGISTRATION CATEGORY *
DID YOU ATTEND THE 39TH AGM in 2024? *
choose only one option
DID YOU ATTEND THE 38TH AGM IN 2023 *
choose only one option
PAYMENT METHOD USED? *
Amount paid (Tsh.)  *
Pay full amount 

Also remember to pay your membership fee if you've not paid (2024/25)
Evidence of payment  (message / transaction code) *
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.