Application Form


Date of birth



Your Email

Mobile Number

Alternative Number

BDS Passed out year

Additional Qualification of courses attended

Preferred course location

Interested in
 Root canal treatment Post and core Restorative dentistry – inlays, onlays, posterior composites and other restorations Crown and bridge Complete denture and partial denture clinical steps Dental Implants Fixed Orthodontics Periodontal Surgeries – gingivectomy, frenectomies, flap surgeries Gingival depigmentation PRF Bone and Connective tissue grafting Pedodontic RCT and crowns Local anesthesia and dental extraction including impactions Private practice – Quick start program

Other courses interested in

Some of the courses are designed to be delivered in your clinic. For some courses you need to register with your nearest DUA center.

Once you submit the form : we will get back to you with the details of payment.

Disclaimer : The above courses are intended for skill enhancement of qualified dental surgeons only. The courses are not recognized by the Dental council of India .

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