EUROPEAN ACADEMY OF PAEDIATRIC DENTISTRY

MEMBERSHIP DATA FORM

Personal Information
Please type in capitalised form (John)
Please type in capitalised form (John)
Corresponding Address
Institutional Address
University and Director of the Post Grad Program
Date of Program completion
Please provide 2 members of the EAPD that support your application

In order to complete your application process please email to the EAPD Secretary, Assoc. Prof. Sotiria Gizani at secretary@eapd.eu a letter from the University or from the Head of the program you attend stating the following information (in English):

  1. you are student for the paediatric dentistry program,
  2. when you started the program and
  3. when you expect to complete it.