NEBDN Dental Nurse Course Registration form

Course CourseNEBDN National Diploma in Dental NursingDental Radiography (only if you are already qualified as a NEBDN Dental Nurse)Oral Health Education (only if you are already qualified as a NEBDN Dental Nurse)Fluoride Varnish Application (only if you are already qualified as a NEBDN Dental Nurse)

Title TitleMrMrsMiss

Full Name

Email Address

Phone Number

WhatsApp number

Date of Birth

Full Address

Nationality

Are you currently working as a Dental Nurse? Are you currently working as a Dental Nurse?YesNo

Do you have a criminal record? Do you have a criminal record?YesNo

Education (Name of School/College/University)

Work Experience

Are you allowed to live and work in the UK? Are you allowed to live and work in the UK?YesNo

Do you require a work permit or visa to work in the UK? Do you require a work permit or visa to work in the UK?YesNo

Do you have a National Insurance Number? Do you have a National Insurance Number?YesNo

Your National Insurance Number

How did you hear about us?

Declaration Declaration I accept to pay monthly course fees every month, regardless if I am currently working as a trainee dental nurse or not. I understand that if I don't pay monthly course fees for 2 months, my course will be cancelled and discontinued. I understand that finding and securing trainee dental nurse placement usually takes 3-6 months. I understand that Dental Tutors do not provide any guarantees in finding a placement. I understand that any fees paid to Dental Tutors are non-refundable. I understand that I must pay the exam fee of 485 in one full payment as soon as I start working as a trainee dental nurse. I declare that I have completed this application truthfully and to the best of my ability.