Membership Registration

Create Your CDAN Account

Complete all sections of the form to register as a member of the Cosmetic Dentistry Academy of Nigeria Limited.

1
Account Details
2
Personal Info
3
Licensing
4
Documents
5
Review
Step 1 of 5

Account Details

Create your CDAN member login credentials. You will use these to access your member portal and programmes.

Login Credentials

This will be your CDAN member login email.

Choose a unique username (no spaces).

Minimum 8 characters, including a number and a symbol.

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Step 2 of 5

Personal Information

Provide your professional and contact details for your CDAN membership record.

Personal & Professional Details
Contact Details
Professional Category — determines your membership fee
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Licensing Registration

CDAN requires all members to be registered with their appropriate licensing body. Please confirm your licensing status and upload your photo identification.

Why Licensing Registration is Required

  • Legal Practice Compliance
  • Professional Recognition
  • Ethical Standards & Accountability
  • Eligibility for CPD / CME Credits
  • Participation in Accredited CDAN Programs
Licensing Body Registration
Photo Identification

Please upload a valid government-issued photo ID (e.g. National ID, Passport, Driver's Licence). Max file size: 100MB.

Upload Valid Photo Identification

Drag & drop here, or browse to upload
JPG, PNG or PDF · Max 100MB

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Supporting Documents

Please upload all required documents. Students must provide proof of enrolment. All professionals must provide their Professional License Document and NIN Slip.

Professional License Document

Upload your current professional license or registration certificate issued by your licensing body. Max file size: 100MB.

Upload Professional License Document

Drag & drop here, or browse to upload
JPG, PNG or PDF · Max 100MB

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National Identification Number (NIN) Slip

Upload a clear copy of your National Identification Number (NIN) slip. Max file size: 100MB.

Upload NIN Slip

Drag & drop here, or browse to upload
JPG, PNG or PDF · Max 100MB

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Student Enrolment (Students Only)

Student Notice

  • All students must provide valid evidence of enrolment in an accredited training institution.

Upload your admission letter or current enrolment confirmation. Max 100MB.

Upload Admission Letter

Drag & drop here, or browse · Max 100MB

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Letter of Employment (if applicable)

If employed at a clinic or institution, please provide a letter of employment or professional appointment. Max file size: 10MB.

Upload Letter of Employment

Drag & drop here, or browse to upload
JPG, PNG or PDF · Max 10MB

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Step 5 of 5

Review & Submit

Please review your registration details before submitting. Your form will be sent to the CDAN Membership Team and you will be redirected to complete payment.

Account Details
Personal & Professional Information
Licensing & Documents
Declaration

By submitting this form, I confirm that all information provided is accurate and complete, that I hold valid registration with my professional licensing body, and that I agree to abide by the professional standards and code of conduct of the Cosmetic Dentistry Academy of Nigeria Limited (CDAN).

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