NATIONAL SOCIETY APPLICATION:

2 STEP PROCESS

Applicant Details

First Name

Surname

Contact Number (please include country code)

Your Email

Account Password (to be used once your application is approved)

×	12+ characters
×	Includes numbers
×	Includes symbols
×	Includes an uppercase and a lowercase letter
×	Does not include 3 or more consecutive numbers

Association Details

Association Name

Address

City

State / County

Postcode / Zip

Country

Telephone (please include country code)

Website

Number of Members

President's Details

Name

Telephone (please include country code)

Terms of office (number of years)

Started / Starting on

President-Elect's Details

Name

Telephone (please include country code)

Terms of office (number of years)

Started / Starting on

Secretary General's Details

Name

Telephone (please include country code)

Terms of office (number of years)

Started / Starting on

Country Profile

Please provide the following information to give the IAPD an overview of the characteristics of Paediatric Dentistry your country. This will help us to compare some of the challenges facing Paediatric Dentists worldwide.

Number of dentists

Does your government recognise paediatric dental specialists?

How are dental services for children organised?

The above-mentioned services are best described as...

Number of paediatric dentists

POPULATION STATISTICS:

Total Population

Under 16 years of age

Mean dmft value for 5 & 12-year-old children

Is drinking water fluoridated?

Number of undergraduate dental schools

Please upload a photograph representing some characteristics of your country (optional).

ANY ADDITIONAL INFORMATION YOU THINK WOULD BE RELEVANT

Uploads

Society Constitution

List of Officers

Society Logo

An official representative of your Society must sign the space below.to confirm that the above information is correct

Name of signatory

The Global Voice for Children's Oral Health

MOBILE

NATIONAL SOCIETY APPLICATION:

2 STEP PROCESS

Applicant Details

Association Details

President's Details

President-Elect's Details

Secretary General's Details

Country Profile

Uploads

The International Association of Paediatric Dentistry

Important Links

National Member Societies