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Final year dental student membership application form

If you have any questions about joining Dental Protection, please contact Membership Operations at

Are you a member of SADA?

Do any of the following apply to you (now or in the past):

  • Criminal convictions or police cautions
  • Disciplinary or personal conduct issues
If the answer is Yes please provide dates as well as full details in the box below. 

Have you ever had professional indemnity/insurance:

  • Refused, cancelled (including a decline to renew) or made void 
  • Offered with non-standard terms or conditions imposed such as an increased subscription
If the answer is Yes please provide dates as well as full details in the box below.

Your Personal Information

At times we will ask you to provide us with personal information including, but not limited to, when you apply for membership, change your membership, your subscription is renewed, your scope of practice changes and if you seek and we provide assistance to you.  In applying for membership and by continuing as a member you agree that (i) we may hold and process your personal information, which you provide to us or which we fairly obtain from another source for the purposes of processing any application for membership, the administration and provision of membership services, providing you with benefits of membership (including, but not limited to, advice, assistance and indemnity), underwriting, risk assessment, marketing, education, research and audit during your membership and for a reasonable period after your membership terminates or an application for membership is rejected by us or withdrawn by you and (ii) we may share such information with third parties who may also hold and process the personal information for the same purposes.

You also agree that (i) we may seek information relevant to any purpose for which you have agreed we may hold personal information from other professional defence organisations, insurance companies, employers or other third parties regarding your professional practice and career history and that they may release such information (ii) your personal information may be transferred to, held and processed within European Economic Area (EEA) and (iii) if you provide us with an email address or telephone number it may be used by us and third parties to contact you for any of the purposes for which you have agreed to allow us or them to hold or process or process your personal information.


By submitting this form you confirm that:

(i) You wish to apply for membership of MPS subject to the Memorandum and Articles of Association.

(ii) You understand that any failure to disclose full and accurate details may delay your application and/or if you are accepted into membership could result in the suspension or withdrawal of membership benefits and/or the cancellation and/or termination of membership.

(iii) You understand that membership is not conferred automatically and is subject to approval by MPS.

(iv) You will inform us if your contact details or relevant personal circumstances change.

Cancellation Policy

You may cancel your membership at the end of any subscription period by giving us prior notice, or during a subscription period upon two months’ notice.

We will process your data in accordance with our privacy policy

If you require any advice or assistance completing this form email