ORE Training Course Registration Form

To register your interest in taking the ORE Training Course, please fill in the Registration Form below:

First Name:*

Surname:*

Telephone Number:*

Email Address:*

Address:

Country:*


Current Qualification:*

I want to register for the Paid ORE 1 Training 5 Day Event between 10th to 14th October 2019:


ORE 1 Training Course Fees:

Discounted: 49,000 Indian Rupees if you pay the deposit up to Sunday, 1st September 2019
Standard: 55,000 Indian Rupees if you pay the deposit from Monday, 16th September 2019

To secure your place please pay deposit to the below bank account referencing your full name and send an email to : hitarth.raval@smartdentalcare.co.uk

SOOHAM BUSITECH PRIVATE LIMITED
ICICI BANK LTD. BRANCH NARODA
AHMEDABAD. PIN 382330 GUJARAT
CURRENT ACCOUNT NO- 084405001240
IFSC CODE : ICIC0000844

I want to register for the Paid ORE 2 Training ORE-Part2

How did you know about us?:

Message:

I declare that the information contained in this Registration Form is correct to the best of my knowledge. I understand that if it is subsequently discovered that any statements are false or misleading I may be liable to have my application disqualified. *

I agree with the above declaration: