REGISTRATION FORM: 2009 CONTINUING PROFESSIONAL DEVELOPMENT PROGRAM
This form cannot be submitted on line. It can be used as a template to print and forward by fax or post to the Dental School.
Before enrolling, please read registration conditions.
- ADAVB Registration Form (PDF 90kb)
- CPD 2009 Program Registration Form (PDF 268kb)
Please forward this REGISTRATION FORM and return it by mail together with your DEPOSIT CHEQUE to:
Ms Samantha Vassallo La Rosa ,
Continuing Professional Development,
Melbourne Dental School,
The University of Melbourne,
720 Swanston St, Melbourne VIC 3010.Email: sam.v@unimelb.edu.au
PH: (03) 9341 1506
FAX: (03) 9341 1595
Please contact the CPD Office if confirmation of your enrolment is not received 14 working days after submission.
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