Registration Form

Program Schedule

• The program is limited to 15 participants per module to enable better personal care and interaction.
• The Course is divided into two modules spaced over three to six months.
• Module I is covered over three days
• Each module has exhaustive lectures, live patient demonstrations and assessment of the participants hands-on work under the dental operating microscopes

Depending on their needs participants can also choose to join Any One of the modules at the following rates.

GUWAHATI:

Collaborative Partner :
Centre for Clinical Dental Study Crucial DASC ,
2nd Floor, Prag Plaza Complex,
100 G . S Road, Bhangagarh
Guwahati - Assam, INDIA

Contact - Mr.PRATHIM ( 8811082782 )

MODULE I - ESSENTIAL ENDODONTICS : Rs. 40,000/-
(Each participant receives an endodontics starter kit comprising of consumables and materials worth Rs. 10,000/-)

MODE OF PAYMENT

Participants interested in the module can register online after making an advance payment of Rs. 5000/-, Participants interested in registering for BOTH the modules to avail the discount offer can register online after making an advance payment of Rs 10,000/-. The balance can be paid during the module dates. This advance payment can be made by either BANK TRANSFER / DEMAND DRAFT / CASH

1. BANK TRANSFER

Instructions - In order to book your seat for any ONE of the modules you can make a payment of Rs. 5000/- by bank transfer. You can also book yourself for BOTH the modules by making a payment of Rs 10,000/- by bank transfer.

Bank Name : HDFC Bank
Account Name : Root Canal Centre
Act. No. : 00172000033366
Branch : Anna Nagar Rountana Branch
Branch Address : AA - 8 , 2nd Avenue , Chennai - 600040 , Tamilnadu.
RTGS / NEFT IFSC : HDFC0000017

2. DEMAND DRAFT

Instrucations - In order to book your seat for any of the modules you can make a payment of Rs. 5000/- or if you want to book both the modules then you can make a payment of Rs 10,000/- by making a DEMAND DRAFT in the name of " ROOT CANAL CENTRE " and payable at Chennai. You can courier the draft to the following address.

Root Canal Centre
Sri Arcade, D Block, New No 91,
Anna Nagar First Avenue,
Chintamani Signal, Anna Nagar East,
Landmark: Next to Raymond showroom,
Chennai – 6000102.
Phone: +91 - 44 – 42171813

3. CASH

Instrucations - In order to book your seat for any of the modules you can make a payment of Rs. 5000/- or if you want to book both the modules then you can make a payment of Rs 10,000/- by CASH at the above mentioned address.

Module I - Essential Endodontics by Dr.GopiKrishna Apr 19, 20, 21 - 2017 WED, THU, FRI Close Registration Closed Jun 01, 02, 03 - 2018 FRI, SAT, SUN Close Registration Closed Nov 30, Dec 01, 02 - 2018 FRI, SAT, SUN Close Registration Closed Nov 21, 22, 23 - 2021 SUN, MON, TUE Close Registration Closed Mar 20, 21, 22 - 2022 SUN, MON, TUE Close Registration Closed
Module II - Advanced Endodontics by Dr. Gopi Krishna & Dr. Lakshmi Jan 19, 20 - 2018 FRI, SAT Close Registration Closed Feb 08, 09 - 2022 TUE, WED Close Registration Closed
Kindly fill the form given below for registering for Endodontic training program.
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