Pre-registration

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Pre-registration

Please select your courses

This form is for pre-registration only
This form does not guarantee your vacancy
To validade the inscription and guarantee the vacancy, please follow the link that will be sent to your email after submitting this form, in case of available vacancies

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Name *

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Email - (Please check your spam box) *

Year *

Month *

March October

Which is your language preference? *

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Address *

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City

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Phone number *

Degree / Professional Activity *

DDS/DMD/BDS (Dentist) Dental Technician Undergraduate Student Other

If you selected Other, please enter your professional activity here *

Have you ever attended any other SPI/CIRO Intensive or Post-graduated Course in the past? *

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Dental Association Number *

If you selected yes please identify your anterior SPI/CIRO Course. *

Please upload a document confirming your Degree or Professional Activity *

Max file size: 20MB

Degree Certification in Dentistry / Dental Association Card / Dental Association Certification / Undergraduate Student Certification

If your selected course is modular based, please select your preferred payment method *

Modular payment Full price payment My selected course its not modular

Intensive Courses *

Intensive Course from Implantology to Aesthetics and Oral Rehabilitation Initiation, Update and Improvement Course in Implant Dentistry Initiation, Update and Improvement Course in Aesthetics and Oral Rehabilitation Advanced Course in Bone and Soft Tissue Regeneration Update Course in Bone and Soft Tissue Regeneration Intensive Course in laser Application in Oral Surgery, Periodontology and Implant Dentistry

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Pre-registrationPlease select your coursesThis form is for pre-registration onlyThis form does not guarantee your vacancyTo validade the inscription and guarantee the vacancy, please follow the link that will be sent to your email after submitting this form, in case of available vacancies

Pre-registration

Please select your courses

This form is for pre-registration only
This form does not guarantee your vacancy
To validade the inscription and guarantee the vacancy, please follow the link that will be sent to your email after submitting this form, in case of available vacancies