Application for Membership

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Membership document request form

Request for document

I request the document for application of membership in Japan

Name

Family name   Given name

Delivery address

Postal code

Address

Phone

Place of work

ApplicableNot applicable
Name of office
Practitioner
Name of office

Japan Dental Association

MemberNonmember

    

Admission fee ¥4,000
Annual fee
(April-March)		 ¥12,000 Regular member A = Practitioner, dentist employed by practitioner, and employee at research institute
¥9,000 Regular member B = Staff at university, vocational school, or hospital
¥6,000 Regular member C = Co-dental staff at university, vocational school, or hospital

Address of Secretariat
Japan Academy of Esthetic Dentistry

Komagome TS Bldg. 4F
1-43-9, Komagome, Toshima-ku, Tokyo 170-0003, Japan
c/o Oral Health Association of Japan
Phone: +81-3-3947-8891
Fax: +81-3-3947-8341
Email: info@jdshinbi.net