(This is not an application form)
This proforma should only be completed by you if:
(Refer to Exempt Persons guidance)
Please note: If you do not hold a qualification which is specific to the DCP title for which you
are applying for registration the GDC may require the following confirmation from the relevant authority
in the country where your qualification was awarded:
This document must be on the official stationery of the relevant authority and must be signed by an authorised official.
Please provide your primary dental qualification below.