Registration

Notes:
*Please type your name as it’s written in your passport.

*The submitted name can NOT be changed. thus double-check before submission.

Registration Form:

First Name

Family Name

Title (Prof., Assistant Prof., Dr, Mr. Ms. etc.)

Gender

Country

City

Email Address

Mobile

Occupation

Type of Participation Type of Participation Research paper (Oral) Research paper (Poster) Attending workshop Regular Attendant

Physical requirements (if any):

– Dental Student 100 LYD.

– General Dentist 150 LYD.

– Specialist 200 LYD.