Registration Form

Form

Fees: Depending on their needs participants can also choose to join ANY ONE of the modules at the following rates.

MODULE-I ESSENTIAL ENDODONTICS by Dr Gopi Krishna ( 4 Days ) : Rs. 44,000/-

MODULE-II ADVANCED ENDODONTICS by Dr Gopi Krishna and Dr. Lakshmi ( 3 Days ) : Rs. 38,000/-

MODULE-III MICROSCOPE TRAINING COURSE by Dr Gopi Krishna (2 Days ) : Rs. 38,000/-

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/-.

Participants interested in registering for ALL THREE modules to avail the discount offer can register online after making an advance payment of Rs 15,000/-.

The balance can be paid during the module dates. This advance payment can be made by either BANK TRANSFER / CASH

DISCOUNTS FOR JOINING MORE THAN ONE MODULE:

OPTION-I

Total of Rs 1,12,000/- (For participants joining all the three Modules by Dr. Gopi Krishna after a discount of Rs 8,000 rupees).

OPTION-II

Total of Rs 78,000/- (For participants joining Module I and Module II by Dr. Gopi Krishna after a discount of Rs 4,000 rupees)

DIRECT & INDIRECT ESTHETIC MASTERCLASS MODULE by Dr. Deepak Mehta & Dr. Lakshmi ( 3 Days ) - Rs. 32,000/-

MODULE-IV INSTRUMENT RETRIEVAL MASTERCLASS - Microscope course on BTR Pen by Dr. Zaher Altaqi ( 2 Days ) : Rs. 52,000/-

MODULE-IV LEDGE MANAGEMENT MASTERCLASS By Dr. Filippo Cardinali ( 2 Days) : Rs. 38,000/-

MODE OF PAYMENT

You can book your slot by paying a non-refundable deposit of Rs 5,000/-

In case of any last-minute change of your plans to attend our module, we will permit a one-time reschedule of your registration to a future course slot, if this is done 15 days before the course date.

1. BANK TRANSFER / UPI PAYMENT

Instructions - In order to book your seat for any of the modules, you can make a payment of Rs. 5,000/- by BANK TRANSFER / UPI PAYMENT. Please contact 7845808818 for QR Code.

Kindly call or whatsapp at 7845808818 for bank details

2. CASH

Instructions - In order to book your seat for any of the modules you can make a payment of Rs. 5,000/- or if you want to book both the modules then you can make a payment of Rs 10,000/- by CASH at Root Canal Foundation.