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Organization Details

DENTAL LAB/CLINIC/INSTITUTE NAME *

OWNER/DIRECTOR NAME *

Member Name (If Lab Employee or Lab Technician is applying) Leave blank if same as owner/director

DESIGNATION/ROLE *

Contact Information

MEMBER MOBILE NUMBER * 10-digit mobile number

Email Address *

Username for Login * Choose a unique username

Create Password *

Minimum 8 characters

Confirm Password *

FULL ADDRESS WITH CITY *

Membership Type

MEMBERSHIP TYPE (ANNUAL MEMBERSHIP) *

DENTAL LAB OWNER - DLO INR 2,000 IN-HOUSE DENTAL LAB IN CLINIC - DLC INR 2,000 CERTIFIED DENTAL TECHNICIAN - CDT INR 2,000 DENTAL STUDENT - DS INR 600 DENTIST - DE INR 3,000 LAB STAFF ASSOCIATED WITH REGISTERED LAB - LS INR 1,000 FOREIGN MEMBER - FM USD 100

Required Documents

PASSPORT SIZE PHOTOGRAPH * Allowed: JPG, JPEG, PNG, GIF | Max: 2MB

ADDRESS PROOF (AADHAR/PASSPORT/VOTER ID) * Allowed: JPG, JPEG, PNG, PDF | Max: 5MB

GST CERTIFICATE (If applicable) Allowed: JPG, JPEG, PNG, PDF | Max: 5MB

PAYMENT PROOF (After payment) * Upload payment screenshot/transaction slip | Max: 5MB

Terms & Conditions

I declare that the information provided is true to the best of my knowledge. I agree to abide by the rules and code of conduct of the Indian Dental Lab Association (IDLA). I understand that membership approval is subject to verification by the IDLA Membership Committee.

Indian Dental Lab Association

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IDLA Membership Application 2026

Organization Details

Contact Information

Membership Type

Selected Membership Fee: INR 0

Required Documents

Terms & Conditions

Payment Instructions

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Bank Transfer

Indian Dental Lab Association

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