GPIS V3 REGISTRATION

1
GPIS V3 Scientific Lecture ProgramAn exceptional lineup of lectures in periodontology, implantology, and full-arch rehabilitation
2
Name* This field is required.
First Name
Last Name
3
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Email* This field is required.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
5
Phone Number* This field is required.Please provide a valid phone number (including country code) reachable on WhatsApp for important event communications
Area Code
Phone Number
6
Professional Status* This field is required.
Dental Student
Intern Dentist
Resident in Dentistry
General Dentist (DDS / DMD)
Periodontist
Oral Surgeon
Prosthodontist
Endodontist
Orthodontist
Pediatric Dentist
Assistant Professor
Associate Professor
Professor
Other
7
GPIS V3 MASTERCLASS ProgramDiscover exclusive hands-on masterclasses led by internationally renowned experts in periodontology, implantology, and full-arch rehabilitation.
8
INCLUDED MASTERCLASS* This field is required.Please select your included masterclass
Dr. Sergio MorenoGuided Bone Regeneration – Keys to Success and Clinical Tips.
Dr. Ahmed AshrafPrinciples of Flap Design and Suturing in Periodontal Plastic Surgery.
Dr. Jorge AlaniaHow to Manage Lower Incisors Gingival Recession.
Dr. Mohamed El-AshryMastering Full-Arch Scanning for Implant Restorations.
Dr. Federico AmorosoModern Aesthetic Implantology: Autologous Grafts for Predictable and Outstanding Esthetic Results.
9
Would you like to add a second masterclass to your registration package?* This field is required.An additional fee will apply for the extra masterclass, according to our pricing plan.
◉ Yes, I would like to add an additional masterclass
◉ No, one masterclass is sufficient
10
EXTRA-MASTERCLASS* This field is required.Please select your extra-masterclass
Dr. Sergio MorenoGuided Bone Regeneration – Keys to Success and Clinical Tips.
Dr. Ahmed AshrafPrinciples of Flap Design and Suturing in Periodontal Plastic Surgery.
11
EXTRA-MASTERCLASS* This field is required.Please select your extra-masterclass
Dr. Jorge AlaniaHow to Manage Lower Incisors Gingival Recession.
Dr. Mohamed El-AshryMastering Full-Arch Scanning for Implant Restorations.
Dr. Federico AmorosoModern Aesthetic Implantology: Autologous Grafts for Predictable and Outstanding Esthetic Results.
12
Package Preference (TND): GPIS Early Bird Registration. 1 masterclass* This field is required.Please feel free to select the package that is most convenient for you.
GPIS Starter Registration Package – 1 Masterclass Included (Ideal for participants who prefer to arrange their own travel, accommodation, and local logistics while enjoying full access to the GPIS scientific experience) 1200 TND
Full GPIS Experience Package – 1 Masterclass Included ( The ultimate all-inclusive GPIS experience, designed for a seamless and premium scientific journey in Alexandria. INCLUDE Congress registration + round-trip airline ticket + hotel accommodation { from October 31 to November 4, 2026)} + airport/local transfers + organized touristic activities in Cairo and Alexandria + complete hospitality package 4500 TND
13
Package Preference (TND): GPIS Early Bird Registration 2 masterclass* This field is required.Please feel free to select the package that is most convenient for you.
GPIS Starter Registration Package – 2 Masterclass Included (Ideal for participants who prefer to arrange their own travel, accommodation, and local logistics while enjoying full access to the GPIS scientific experience). ▶1500 TND
Full GPIS Experience Package – 2 Masterclass Included ( The ultimate all-inclusive GPIS experience, designed for a seamless and premium scientific journey in Alexandria. INCLUDE Congress registration + round-trip airline ticket + hotel accommodation { from October 31 to November 4, 2026)} + airport/local transfers + organized touristic activities in Cairo and Alexandria + complete hospitality package) ▶4800 TND
14
Package (USD): GPIS Early Bird Registration 1 masterclass* This field is required.Please review and confirm that this is your desired GPIS registration package
GPIS Registration Package – 1 Masterclass Included. ▶ 320 USD
15
Package (USD): GPIS Early Bird Registration 2 masterclass* This field is required.Please review and confirm that this is your desired GPIS registration package
GPIS Registration Package – 2 Masterclass Included. ▶ 400 USD
Other
16
Payment MethodPlease choose your preferred payment option
Bank Transfer
Cheque Payment
17
Additional notes.
Huge
Large
Normal
Small
Ok
Ok
18
Do you require an official invitation letter for visa application purposes?* This field is required.An additional fee will apply for the extra masterclass, according to our pricing plan.
Yes
No
19
Please upload a copy of your valid passport * This field is required.
20
Signature* This field is required.
21
Terms and Conditions* This field is required.I understand that my registration includes access to the full scientific congress program and one included masterclass. I understand that I may optionally register for one additional extra masterclass on the other congress day, subject to seat availability and an additional registration fee. Masterclass seats are limited and allocated on a first-come, first-served basis. In the event that a selected masterclass reaches maximum capacity, the organizing committee reserves the right to propose an alternative session. Extra masterclass registration is subject to availability and confirmed only after successful payment validation. Registration becomes final only after confirmation by the organizing committee and successful completion of payment. By completing this registration form, I confirm that the information provided is accurate and agree to the congress registration policies established by the organizing committee.
Should be Empty: