Simulation and Skill Development Center Registration Form
Life Support Training present online registration form for all life support courses.
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Take Notes:
1- Please check the Calendar first for dates and seats availability using below link:

https://docs.google.com/spreadsheets/d/1RzYqoYu1hd9n_ep-4jGy8t2jJUnRQblVxUxbg_IGC40/edit?usp=sharing

2- Each participant has to Register by Himself, please don't Register on-behave of others.
 
Course Date: *
MM
/
DD
/
YYYY
Type of Course: *
Life Support Courses Price List:
Full Name: (Check the Spelling, it will appear in the certificate) *
Gender: *
Nationality: *
Participant Type: *
Hospital Name / College Name / Any other Institution: *
Position: *
Employee Badge Number / Student Number:
Mobile Number: *
ex. 966544455667
Email Address: (work or student email for PNU/KAAUH Staff or PNU student) *
SCFHS Prefoessional No. (If Applicable)
By reading this you will be aware that:  
By reading this you will be aware that:   *
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American Heart Association Disclaimer:
" The American Heart Association strongly promotes knowledge and proficiency in CPR and has developed instructional materials for this  purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association, and any fees charged for such a course do not represent income to the association"  
In case you have any problem or concern with the registration process, Please contact us on: nfalangari@pnu.edu.sa , 011-8239732 Life Support Training Center.
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