Join Dental Protection

Free Student Membership Application

Please complete the form below and click submit

I wish to be come a Dental Student Member of Dental Protection under the Terms of the Memorandum and Articles of Association of the Medical Protection Society.

Title:

Surname:

Forename:

Date of birth (dd/mm/yyyy):

Gender:

Dental school:

Course year:

Email address:

Confirm Email address:

Home address:

Term-time address
(if different to home address):

Preferred mailing address:

Telephone number:

Mobile number:

DPL will not pass on your details to any third parties, as set out in our privacy policy

If you require any advice or assistance completing this form, please contact DPL on +353 (0) 1 280 8668

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Dental Protection Limited (registered in England No. 2374160) is a member of the Medical Protection Society Limited (registered in England No.36142) group of companies. Both companies have their registered office at 33 Cavendish Square, London W1G 0PS. MPS is not an insurance company. All the benefits of membership of MPS are discretionary as set out in the Memorandum and Articles of Association