FELLOWSHIP APPLICATION FORM
Online Application Form
If you have been nominated or are interested in Fellowship and wish to apply, please complete the biographical profile form complete with signature, business card and passport sized photo. Online is our preferred application method.

Click here to apply online

Paper Application:
If you prefer, you may apply via PDF and send to ADI.

Post:
Academy of Dentistry International
3813 Gordon Creek Drive
Hicksville OH 43526 USA

or via Email:
admin@adint.org
adiindia2017@gmail.com

Membership Fees
ADI Fellowship USA- 400$
Lifetime Membership to ADI India Chapter- 8,000/- Rs
Yearly Membership to ADI India Chapter- 1,000/- Rs
ADI Global Dental Conclave Registration- 10,000/-Rs

Dr. Anil Chandra (Prof.) 

Organizing Secretary, ADI India
Mb: +91 94150-29863
Email: adiindia2017@gmail.com

Dr. Vikrant Jain (Dental Surgeon & Consultant Implantologist) 

Treasurer, ADI India
Mb: +91-98110-39090
Email: drvikrantjain@yahoo.co.in