Register – iadr 2026

1

Personal Information

Please provide your details as they should appear on your badge and certificate.

Title Please select your title.

First Name First name is required.

Last Name Last name is required.

Email Address Please enter a valid email address.

Phone Number Include country code (e.g. +855 for Cambodia) Phone number is required.

Institution / Organization Institution or organization is required.

Position / Role (optional)

Country Please select your country.

2

Membership & Registration Category

Select the category that best describes you. Fees vary by category.

Are you an IADR Member?

Please indicate your membership status.

IADR Membership Number Enter your IADR member ID as shown on your membership card. IADR membership number is required.

Registration Category

IADR Member IADR Non-Member Low, Lower Middle & Upper Middle-Income Countries

Dentist Student

Please select a registration category.

3

Additional Services

Let us know if you need any additional services during the conference.

Do you have an accompanying person?

Please indicate if you have an accompanying person.

Name of Accompanying Person Please enter the name of your accompanying person.

Do you want us to arrange airport pickup?

Please indicate if you need airport pickup.

Dietary Preference

Please specify dietary requirement

4

Visa & Documentation

Invitation letters are provided for visa application purposes only.

Do you require an invitation letter for visa purposes?

Please indicate if you need an invitation letter.

Passport Number Passport number is required for the visa letter.

Full Address for Visa Letter Full address is required for the visa letter.

5

Payment Details

Transfer your registration fee to the account below and provide your payment information.

Account receiver:

Beneficiary Name: UNIVERSITY OF PUTHISASTRA CO LTD

Beneficiary Address: #55, Str 180-184 Sangkat Boeung Raing, Khan Daun Penh, Phnom Penh

Beneficiary Account Number: 001712925

Beneficiary Bank Name: ADVANCED BANK OF ASIA LIMITED

Beneficiary Bank Address: No 148 Preah Sihanouk Blvd, Phnom Penh, Cambodia

Beneficiary Bank SWIFT Code: ABAAKHPP

Account transfer:

Bank name Please enter your bank name.

Bank account name Please enter your bank account name.

Bank account number Please enter your bank account number.

Transaction date Please enter the transaction date.

Reference # (optional)

Payment Receipt

File types: .pdf or image/* · Max 2 files · Max 20 MB each

Drag & drop files here

or

Please attach at least one payment receipt.

I confirm that the information provided is correct and I agree to the conference registration terms and conditions.

I consent to the processing of my personal data in accordance with the IADR-SEA 2026 Privacy Policy.

Conference Registration IADR 2026

Thank you for registering!