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MEDICAL AND DENTAL PROFESSIONS BOARD APPLICATION FOR REGISTRATION AS A DENTIST COMMUNITY SERVICE Form 14 A NON COMPLIANT APPLICATION WILL BE REJECTED AND SENT BACK TO YOU Please PRINT and return the ORIGINAL FORM to The Registrar PO Box 205 Pretoria 0001 by registered mail for ease of tracking mail 553 Madiba Street Arcadia Pretoria 0083 FOR OFFICE USE ONLY NO ALTERATIONS TO THIS DOCUMENT WILL BE ACCEPTED A. ORIGINAL OFFICIAL DATE STAMP OF INSTITUTION SIGNATURE RECTOR/DEAN/OPERATIONAL HEAD...
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