Registration Form

Registration Form
  • After you complete the registration, notification e-mail (from will be sent to you automatically. Please print out the e-mail and bring it to the registratio desk on site.
  • The deadline for registration is May 20.
  • * fields are required.
ex. Koku University Graduate School of Dentistry, Koku Dental Clinic
ex. Department of Special Needs Dentistry

Please click the "Confirm" button and check your information carefully.

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