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*--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember--20222021 When did you qualify? *--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember--202420232022202120202019Earlier Year Training will be completed *If qualifying this year, please complete the 'Newly Qualified' application form instead20252026202720282029 Qualifications * Field Of Practice * hold down ctrl key to select multiple Fixed ProstheticsOrthodonticsCDTRemovable ProstheticsOther - Please provide further details in the text box below Other field of practice Employment Status * Employed Self Employed Unemployed Place of work Laboratory * Postcode * Telephone * Billing Details Use the same details as the member details Billing Contact Name * Email Address * Billing Address Line 1 * Billing Address Line 2 Billing Town/City * Billing County AberdeenshireAngleseyAngusAntrimArgyll and ButeArgyllshireArmaghAyrshireAyrshire and ArranBanffshireBedfordshireBerkshireBerwickshireBordersBristolBuckinghamshireButeshireCaernarfonshireCaithnessCambridgeshireCarlowCarmarthenshireCavanCeredigionChannel IslandsCheshireCity of AberdeenCity of DundeeCity of EdinburghCity of GlasgowCity of LondonClackmannanClackmannanshireClareClwydConwynCorkCornwallCounty AntrimCounty ArmaghCounty Derry / LondonderryCounty DownCounty FermanaghCounty TyroneCromartyCumbriaDenbighshireDerbyshireDeriDevonDonegalDorsetDownDublinDumfriesDumfriesshireDunbartonshireDurhamDyfedEast LothianEast Riding of YorkshireEast SussexEast YorkshireEssexFalkirkFermanaghFifeFlintshireGalwayGlamorganGloucestershireGreater LondonGreater ManchesterGwentGwyneddHampshireHartlepoolHerefordshireHertfordshireHumbersideInvernessInverness-shireIrelandIsle of AngleseyIsle of ManIsle of WhiteIsle of WightKentKerryKildareKilkennyKincardineshireKinross-shireLanarkshireLancashireLaoisLeicestershireLimerickLincolnshireLlandudnoLondonLondonderryLothianMeathMerseysideMid GlamorganMiddlesbroughMiddlesexMidlothianMonaghanMonmouthshireMontgomeryshireMorayMorayshireNairnNairnshireNewportNorfolkNorth YorkshireNorthamptonshireNorthern IrelandNorthumberlandNottinghamshireOffaly EireOmaghOrkneyOxfordshirePeeblesshirePembrokeshirePerth and KinrossPerthshirePowysRenfrewshireRhondda Cynon TafRoss and CromartyRoss-shireRoxburgh, Ettrick and LauderdaleRoxburghshireRutlandSelkirkshireShetlandShropshireSomersetSouth GlamorganSouth YorkshireStaffordshireStirling and FalkirkStirlingshireStockton on TeesStrathclydeSuffolkSurreySussexSutherlandTeesideThe Stewartry of KirkcudbrightTipperaryTweeddaleTyne and WearTyroneWarwickshireWest GlamorganWest LothianWest MidlandsWest SussexWest YorkshireWestern IslesWexfordWicklowWigtownWiltshireWorcestershireYorkshire Billing Country * AlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and 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MayenSwazilandSwedenSwitzerlandTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.s.WalesWallis and FutunaWestern SaharaYemenZambia Billing Postcode Online Access Details Password (Must be eight characters long and contain at least one number) * Password Confirmation What are your main reasons for joining the DTA? 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