'Dr Hamed Salehi in Pakistan' Seminar Registration Form
Event Timing:  
Islamabad - November 28th 2019
Peshawar - November 29th 2019
Lahore - November 30th 2019
Karachi - December 1st 2019
Event Address: To be announced
Event Fee: Free
Email: commonstations@gmail.com
Facebook: PLAB2 - Dr Hamed Salehi
Website: www.commonstations.co.uk 
Instagram: commonstations
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Email *
Full Name *
Contact Number (Non-UK) *
Contact Number (UK)
Country of Origin *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
University (Name and City) *
Graduation Year *
MM
/
DD
/
YYYY
IELTS/OET Status *
IELTS/OET Exam Date
MM
/
DD
/
YYYY
PLAB1 Status *
PLAB1 Exam Date
MM
/
DD
/
YYYY
PLAB2 Status *
PLAB2 Exam Date
MM
/
DD
/
YYYY
Which day will you attend? *
Required
How do you know about us? *
Required
What do you look forward and would like to be covered in detail? *
Required
Do you have any particular questions for us?
Thank you for showing your interest in attending our seminar. We will announce the event time and venue address very soon in our Facebook group and website. *
Date
MM
/
DD
/
YYYY
Full Name *
Contact Number (Non-UK) *
Contact Number (UK)
Country of Origin *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
University (Name and City) *
Graduation Year *
MM
/
DD
/
YYYY
IELTS/OET Status *
IELTS/OET Exam Date
MM
/
DD
/
YYYY
PLAB1 Status *
PLAB1 Exam Date
MM
/
DD
/
YYYY
PLAB2 Status *
PLAB2 Exam Date
MM
/
DD
/
YYYY
Which day will you attend? *
Required
How do you know about us? *
Required
What do you look forward and would like to be covered in detail? *
Required
Do you have any particular questions for us?
Thank you for showing your interest in attending our seminar. We will announce the event time and venue address very soon in our Facebook group and website. *
Date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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