ACADEMY OF CLINICAL IMPLANT DENTISTRY

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upcoming events

Untitled Document 1st Conference & Hands on 1st and 2nd Oct , 2011 venue Hotel Sarovar Portico, Vidyut Nagar, Jaipur, click here to register your self

Registration Form

Name
Address
Name of institution/hospital
State
City
Landline
Mobile
Email
Conference Registration Charges	hands on delegate(INR 2700) conference delegate(INR 1700) student delegate(INR 1200)
Accompanying Persons	Accompanying Persons One(INR 1000) Accompanying Persons Two(INR 2000) Accompanying Persons Three(INR 3000) No
Bank Name
Check/DD No.