NEBDN National Diploma Course Transfer to Dental Tutors

Course CourseNEBDN National Diploma in Dental Nursing (only available to students who failed the NEBDN Written or OSCE exam)

Title TitleMrMrsMiss

First Name (as it appears on your passport)

Last Name (as it appears on your passport)

Email Address

Phone Number

WhatsApp number (If you don't have one, you must download it)

Name of the Previous Course Provider

Date of Birth

Full Address including Post Code

Nationality

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

Name of the Clinic

Part Time or Full Time Part Time or Full TimeFull TimePart Time

Which Exam do you need to resit? Which Exam do you need to resit?NEBDN Written ExamNEBDN OSCE Exam

Declaration Declaration I accept to pay a monthly fee of £100 until I pass the NEBDN OSCE exam. I understand that if I don't pay monthly fees for 2 months, my course will be cancelled and discontinued. I understand that any fees paid to Dental Tutors are non-refundable. I understand that I must pay the exam resit fee once we receive the invoice from the NEBDN. I confirm that my RoE is fully completed and submitted to the NEBDN. I confirm that my previous course provider completed the course withdrawal form and submitted it to the NEBDN. I declare that I have completed this application truthfully and to the best of my ability.