Application Fee Form 2018 IDP PDF
Application Fee Form 2018 IDP PDF
Application Fee Form 2018 IDP PDF
Thank you for applying to the UCSF School of Dentistry. To pay your $200.00
non-refundable application fee, please:
o Complete the lower section of this form;
o Make your cashier’s check or money order payable to UC Regents;
o Enclose this form and your payment in an envelope;
o Mail envelope to:
UCSF Office of the Registrar
P. O. Box #742908
Los Angeles, CA 90074-2908
Please use First-Class Mail or airmail if you are mailing your payment sufficiently in
advance of the deadline. If you use an expedited delivery service, please choose one
of these services:
• U.S. Postal Service Priority Mail or Priority Mail Express;
• A foreign post office’s Express Mail (EMS) service.
Do not use FedEx, UPS, DHL, or any other private delivery service.
Applicant Name
Last First Middle
Date of Birth
IDP OR 1-18