registration form - Saudi Dental Society

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REGISTRATION FORM
Prof.
Dr.
Mr.
Miss
MALE
FEMALE
NAME: ________________________________________________________________________________________
POSITION: ________________________________ SDS NO.: ___________ SCFHS NO.: ______________________
ADDRESS: _____________________________________________________________________________________
P.O. BOX: ______________________ CITY:
________________________
MOBILE NO.: ________________________________
AREA CODE:
_______________
EMAIL: _________________________________________
COURSE TOPICS
1. A MASTER CLASS IN CREATIVITY, DESIGN AND EFFICIENCY
Speaker: Mr. Imad Ghandour
Tuesday, 5 January 2016 - 9:00 am – 5:30 pm
Venue: Hall A, Room 2, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 40
2. HOW TO USE AND WORK WITH STEM CELLS?
Speaker: Prof. George Huang
Tuesday, 5 January 2016 - 1:30 - 5:00 pm
Venue: Hall B, Rooms 3&4, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 80
3. IMPLANT A-Z WORKSHOP BLENDING THE ART OF SURGERY AND
PROSTHETIC IN IMPLANTS
Speakers: Dr. Osama A. Noorwali / Dr. Sahar Alhajrassi
Tuesday, 5 January 2016 - 1:30 - 5:30 pm
Venue: Hall A, Room 1, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 40-50
4. WAVE ONE GOLD (NEW NiTi SYSTEM)
Speaker: Dr. Marco Martignoni
Wednesday, 6 January 2016 - 9:00am - 12:00 noon; 1:00 - 5:00 pm
Venue: Hall A, Room 1, Riyadh Int’l Convention & Exhibition Center
No. of Participants: 25 (AM); 25 (PM)
5. COMPUTER-GUIDED IMPLANT PLACEMENT WITH IMMEDIATE
PROVISIONALIZATION
Speakers: Dr. Fawaz Al-Qahtani / Dr. Talal M. Al-Nassar
Wednesday, 6 January 2016 - 9:00 am - 5:00 pm
Venue: Hall B, Room 3, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 25-30
Select
Early Registration
(Deadline:
17 December 2015)
On-Site
Registration
SR 1,500
SR 1,800
SR 800
SR 1,000
SR 400
SR 600
SR 1,500
SR 1,800
SR 2,500
SR 3,000
6. ADVANCED LOCAL ANESTHESIA COURSE
Speakers: Dr. Nasser Al-Asseri
Wednesday, 6 January 2016 - 9:00 am - 12:00 noon
Venue: Hall B, Room 4, Riyadh Int’l Convention & Exhibition Center
No. of Participants: 40 -50
7. CONE BEAM CT BASED DENTISTRY IN DENTAL TRAUMATOLOGY AND
ENDODONTICS
Speaker: Dr. Mitsuhiro Tsukiboshi
Wednesday, 6 January 2016 - 1:30 - 5:30 pm
Venue: Hall A, Room 2, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 30
8. HOW TO PREPARE A PRIVATE DENTAL CLINIC
Speakers: Dr. Abdulrahman Al-Sarhan, Dr. Mousa Al-Jaload, Dr. Saud
Nagshabandi
Wednesday, 6 January 2016 - 1:30 - 5:00 pm
Venue: Hall B, Room 4, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 40
9. ESTHETIC CROWNS IN PEDIATRIC DENTISTRY
Speaker: Dr. Hassan S. Halawany
Wednesday, 6 January 2016 - 9:00 am - 5:30 pm
Venue: Phantom Lab., KSU-College of Dentistry, BUC
No. of Participants: 20
10. APPLICATIONS OF BOTILUNIM TOXIN A (BOTOX) AND HAYLURINIC ACID
(FILLER) IN DENTISTRY
Speaker: Dr. Hessa M. Al-Wayli
Wednesday, 6 January 2016 - 9:00 am - 5:00 pm
Venue: Dental Clinic, KSU-College of Dentistry, BUC
No. of Participants: 40-50
11. DIGITAL REVOLUTION THE LEARNING CURVE
Speakers: Dr. Alessandro Agnini / Dr. Andrea Mastrorosa
Wednesday, 6 January 2916 - 9:00 am - 12:00 noon
Venue: Hall A, Room 2, Riyadh Int’l. Convention & Exhibition Center
No. of Participants:
12. MAXILLARY SINUS GRAFTING TECHNIQUE: STEP BY STEP GUIDE
Speakers: Dr. Nabih Nader / Prof. Ibrahim Nasseh / Dr. Ronald Younes
Thursday, 7 January 2016 - 9:00 am - 5:30 pm
Venue: Hall B, Room 4, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 40
13. HOW TO PLAN DENTAL IMPLANT TREATMENTS
Speaker: Dr. Faleh Tamimi Marino
Thursday, 7 January 2016 - 9:00 am - 12:00 noon
Venue: Hall A, Room 2, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 30-40
14. 3D SMILE DESIGN TECHNOLOGY
Speaker: Dr. German Gomez
Thursday, 7 January 2016 - 9:00 am - 5:30 pm
Venue: Hall B, Room 3, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 40
SR 600
SR 800
SR 600
SR 800
SR 300
SR 500
SR 1,500
SR 1,800
SR 1,500
SR 1,800
SR 2,000
SR 2,400
SR 1,500
SR 1,800
SR 1,000
SR 1,300
SR 3,500
SR 4,000
15. SHAPING, CLEANING AND OBTURATING ROOT CANALS IN THREE
DIMENSIONS
Speaker: Prof. Gianluca Gambarini
Thursday, 7 January 2016 - 9:00 am - 5:00 pm
Venue: Hall A, Room 1, Riyadh Int’l. Convention & Exhibition Center
No. of Participants: 30
SR 2,000
SR 2,500
Name of Bank:
Riyadh Bank
Bank Account Name:
Saudi Dental Society
Bank Account No.:
286 095 45 999 50
IBAN No.: SA 672 000 000 286 095 45 999 50
Please send your receipt of payment and registration form by fax – (011)-4677765
or email to sds.membership@yahoo.com
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