Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration Form

UDA SCIENTIFIC CONFERENCE AND AGM 2023

* Indicates required question

Name *

Your answer

E-Mail ID *

Your answer

Mobile Number *

Your answer

Will you attend the Pre-Conference Hands on ? *

Yes

No

Will you attend the conference? *

Yes

No

Required

Practice or Work Place? *

Your answer

Country *

Your answer

PAYMENT OPTIONS

Bank (9030005947587, Uganda Dental Association, Stanbic Bank - Wandegeya )

Mobile Money ( 0770932732* Merchant 619837)

Airtel Money (0709715104+Merchant -1271454)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy