Enrol for the Diploma Course – The Restorative & Aesthetic Academy

Enrol in the Extended Programme in Restorative & Aesthetic Dentistry

DIPLOMA IN AESTHETIC AND RESTORATIVE DENTISTRY 2025

Name

First Last

Address

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Phone

HPCSA Reg. No.:

Would you be completing the 2025 Diploma over 1 or 2 year?

1 year

2 years

Diploma fee: R 99 000.00

Upfront payment R90 000.00

1 year diploma: 10 month plan: R9 900 Deposit and R9 900 per month for 9 months

2 year diploma: 10 month plan R9 900 Deposit and R9 900 per month for 9 months

Please select one of the above

Venue

Implant and Aesthetic Academy Training Centre,
3rd floor, De Waterkant Centre
9 Somerset Road, De Waterkant, Cape Town

Payment

All cheques and electronic transfers are to be made out to the Restorative and Aesthetic Academy CC.
Please email proof of payment together with this registration form to naiema@restorativeacademy.co.za
Please put your name as a reference when making the payment.
Please note: Payment is due upon sending us the registration form in order to secure your booking.
Bookings are not confirmed until payment is received. No refunds are permitted except in extraordinary cases.

Account and contact details

Account Name: Restorative and Aesthetic Academy (Pty) Ltd
Account Number: 131 606 7556
Bank: Nedbank Limited
Branch Code: 198 765
Swift Code: NEDSZAJJ

Should you require any further information or assistance then please do not hesitate to contact me.

Naiema Khan
Course Coordinator
Restorative & Aesthetic Academy
Cell: 082 044 4416
Email: naiema@restorativeacademy.co.za