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Registration of Medical Professionals for Gaza Medical Mission
Alkhidmat & PIMA Collecting Data to Register Medical Professionals for Gaza Medical Mission
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Email
*
Your email
Name
*
Your answer
Age
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Gender
Male
Female
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Qualifications
*
Your answer
Year of Qualification
Your answer
PMDC Registration #
*
Your answer
Specialty
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Orthopedic Surgeon
General Surgeon
Plastic Surgeon
Emergency Medicine
Critical Care
Anesthesia
Cardio Thoracic surgeon
Vascular Surgeon
Psychiatrist
Psychologist
Public Health
Allied Health Professional
Other Specialty (Please Specify, not mentioned above)
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Designation
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Any experience working in disastrous situations
Your answer
Contact #
*
Your answer
Email AddressÂ
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CNIC #
*
Your answer
Passport Validity (minimum 6 Months)
*
Choose
Yes
No
Nationality (Passport of the Country)
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Passport #
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Availability for (Number of Days)
*
Your answer
Availability from (Mention Date)
*
Your answer
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