International Academy for Rotary Endodontics
Dubai Course registration – 20-21 May, 2015
NAME………………………. ………………………..Sex ….Nationality………………..
Date of Birth ……………………………. Your Degree -BDS, MDS, Endodontist
Year of BDS …………….. Year of MDS………………………
University …………………………………………………………
Employer/CLINIC Address ………………………………………………………
………………………………………………………….POSTCODE…………….
TEL: HOME………………………… …….WORK…………..……………… ………………
E-MAIL…………………………… Mob ………………………………………………………
I am doing RCTs since ………Years.. ANT/ POST
Average visits for RCTs Single/ Multiple, If multiple 2 / 3 / 4 / More
Root Canal Instrumentation Used: Hand / Rotary,
Name of Rotary system used……………… Obturation Tech. Used………………….
Commonly faced problems in my endo cases
Course payment---- 1500 UAE dhirams, 500 payable to confirm registration for the course, 1000 payable on day 1 of the course
You can pay via west union or uae exchange, or transfer equi to our Indian bank, msg to whatsapp to +919448191202 for bank details.
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