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Membership Registration - BASCD and EADPH (Student/ Low-Middle Income Country)

Please enter information on the form below to process subscription for BASCD and EADPH (Earning <12.5K/Student/ Low-Middle Income Country).

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First Name *

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Address2

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Post Code *

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Phone

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Your role

Job title *

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Department

Professional Registration Number (if applicable)

Eligibility for BASCD groups please indicate if you are eligible for the following groups.

Consultants and Specialists Group

Consultant in DPH.

Specialist in DPH.

StR in DPH.

< 6 months since completion of training.

Not applicable

DPH Trainees Group

Dental Public Health Trainees Group.

Not applicable.

Early Career Network

Early Career Network.

Not applicable.

Please provide brief details of posts held, or experience, relevant to ethos and core functions of BASCD

Your Experience *

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Payment Terms

£53.00 for each Year

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