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Paediatric Essentials for Family Physicians - Application Form
By
Department of Family Medicine
Liaquat National Hospital
Karachi, Pakistan.
Registration deadline : 12th July 2023
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Name
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Your answer
Father’s/Husband’s Name:
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Your answer
Date of Birth
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MM
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DD
/
YYYY
CNIC Number
*
Your answer
PMC/PMDC Number
Your answer
Mailing Address
*
Your answer
Mobile Number
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Your answer
WhatsApp Number
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Your answer
Office Contact Number
Your answer
Active Email
*
Your answer
Current place of Residence (City/Country)
*
Your answer
Year of Graduation from Medical College
*
Your answer
Name of Medical College graduated from
*
Your answer
Current working place/hospital/clinic
*
Your answer
Current Designation
*
Your answer
most recent academic qualification
ONLINE LEARNING SOFTWARE [(E.G ZOOM), (COMPUTER PROFICIENCY)]
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Payment Mode
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Where you heard about us
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