Registration Form

Membership is open to all persons fulfilling the requirements of the membership categories.
Refer to the Registration Requirements/Fees for full details of the requirements.

MAP Membership Form

  • Contact details

  • Qualification Details

    Basic Dental Qualification/University/Year

  • Additional Dental Qualification/University/Year

  • Other Qualification/University/Year

  • Category of MAP Membership Applied for

 

Verification