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5th Essentials oF Telemedicine Certificate Fab 2022
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Email
*
Your email
Full Name (As you want it to appear on your certificate)
*
Your answer
Mobile Number رقم الهاتف الجوال
*
Your answer
Gender النوع
*
Male
Female
University of Graduation الجامعة المتخرج منها
*
Your answer
Specialization التخصص
*
Your answer
Institution مكان العمل
*
Your answer
City & Country العنوان
*
Your answer
Professional Level
*
Undergraduate Student
Postgradute Student
Professional
Technician
Assistant
Specialist
Consultant
Other:
Sub-specialist/other major التخصص الدقيق
Your answer
Way of payment
*
Cash
Bank
I would like to participate and receive information about future health informatics events and activities
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Yes
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