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Registration Form

Registration Form
  • After you complete the registration, notification e-mail(from jsoh67@kokuhoken.jp) will be sent to you automatically. Please print out the e-mail and bring it to the registratio desk on site.
  • The deadline for early registration is April 5.
  • All fields are required.
ex. Kouku University Graduate School of Dentistry
ex. Department of Special Needs Dentistry
*Participants classification
*Reception(June 19, 2018 18:00-20:00)

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

Registration fee should be paid on Site(May 19(Sat.)- 20(Sun.),2018).
And, how to pay is limited to only cash(JPY).