Study Group Registration – College of General Dentistry

Name*

First Last

GDC#*

PLEASE NOTE: If you do not have a GDC number yet please enter your student number or N/A

Telephone*

Email / Username

Password*

Enter Password Confirm Password

Practice Name (if applicable)

Practice / Billing Address

Street Address Address Line 2 City ZIP / Postal Code

What stage are you at in your career?*

Which exam are you interested in?*

Consent*

I understand that by signing up to the CGDent Scotland website I am agreeing to the Terms & Conditions and Privacy Policy.

I understand that my data will be held in accordance with the CGDent Scotland Privacy Policy
I understand that CGDent Scotland will contact me in relation to my membership of this website

The West of Scotland