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Register for a Tuberculosis Course
Are You A Doctor?
*
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First Name:
*
Last Name:
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Email Address:
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Mobile No:
*
(should be of 10-11 digits)
+92
Alternate Contact No:
(should be of 10-11 digits)
+92
CNIC:
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(should be of 13 digits)
Province:
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Select Province
Sindh
Punjab
Balochistan
District:
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Select District
Basic Qualification:
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MBBS
Post Graduation
Master Degree
PhD
Other (specify)
Other (specify):
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Workplace Type:
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Government Hospital
Private Hospital/Clinic
Address Of Government Hospital:
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Address Private Hospital/Clinic:
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Experience Of Your Work:
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Select Experience
0-4 Years
5-9 Years
10+ Years
PMDC Registration Card No:
PMDC number will be required at the time of certificate
Upload PMDC Registration Card:
(JPEG, PNG, JPG) (Max: 1000kb)
Browse file from Computer
Password:
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Confirm Password:
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First Name:
*
Last Name:
*
Email Address:
*
Mobile No:
*
(should be of 10-11 digits)
+92
Alternate Contact No:
(should be of 10-11 digits)
+92
CNIC:
*
(should be of 13 digits)
Province:
*
Select Province
Sindh
Punjab
Balochistan
District:
*
Select District
Basic Qualification:
*
Graduation
Master Degree
Other (specify)
Other (specify):
*
Password:
*
show
Confirm Password:
*
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