Registration

Course Interested:
Micro Endodontics & Rubberdamalogy - Getting Started (3 Days) Aesthetic Revamp (4 Days) Rotary Endo, Post Core & Crown – Clinical Module on patients (3 Months)
Name *:
Email *:
Age :
Sex :	Sex Male Female
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Res. Phone :
Address :
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Father / Spouse Name :
Accommodation:
Yes No
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Graduation - BDS
Name of College
University
Year of Completion
Whether Recognized by DCI
Yes No
Dental Council Registration
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Regn No. :
Present Designation :
Upload Passport Size photo so as to appear in Certificate :
Mode of Payment :
Bank Transfer     Cheque / Demand Draft    Cash Payment

Bank Transfer

HDFC Bank
Shenoy Nagar Branch
(No 5, 1st Cross Street, Shenoy Nagar, Chennai 600030)
IFSC Code : HDFC0001587
Account Name : Dr Narasimhan Bharadwaj
Account No : 50200009081529
Account Type : Current Account
Swift Code: HDFCINBB

OR

State Bank Of India (01853)
22, Taylors Road, Kilpauk, Chennai 600 010.
IFSC Code : SBIN0001853
Account Name : Dr Narasimhan Bharadwaj
Account No : 30048492925
Account Type : Savings

Cheque / Demand Draft

In favor of "Dr. Narasimhan Bharadwaj"
courier to the following address:
Access Dental Institute - Root Canal Center,
N-34 / O-17, Temple Street, New Avadi Road,
Kilpauk,Chennai 600 010.
Phone : 044 - 26449554
Cell : 98400 93440

Cash Payment

Cash payment can be made in person at the above address.

What We Do

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• Root Canal Treatment
• Dental Implants
• Laser Teeth Whitening
• Child Dental Care
• Oral Hygiene Tips
• Dental Tourism