Application for Membership
Fill in the blanks and press the SEND button for application of membership.
You will receive a detailed document.

Membership document request form
Request for document

I request the document
for application of membership in Japan

Name

Family nameF
Given nameF

Delivery address

Postal code

Address
Phone

Place of work

Applicable@@Not applicable
Name of office
Practitioner

Japan Dental Association

Member@Nonmember

@@


Admission fee ¥ 4,000
Annual fee
(April-March)
¥ 12,000 Regular member A = Practitioner, dentist
employed by practitioner,
and employee at research institute
¥ 6,000 Regular member B = Co-dental staff
at university, vocational school,
or hospital

Address of Secretariat
Japan Academy of Esthetic Dentistry
Komagome TS Bldg. 4F
1-43-9, Komagome, Toshima-ku, Tokyo 170-0003, Japan
c/o Oral Health Association of Japan
Phone: {‚W‚P|‚R|‚R‚X‚S‚V|‚W‚W‚X‚P
FAXF{‚W‚P|‚R|‚R‚X‚S‚V|‚W‚R‚S‚P
E-MailFjaed@kokuhoken.or.jp