VOLUNTEER REGISTRATION FORM

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VOLUNTEER REGISTRATION FORM

FOR NATIONAL UHS TELEMEDICINE CENTER FOR CORONA EPIDEMIC CONTROL
Note: For student Volunteers only Final year MBBS or BDS can apply. After filling the form wait for call as we have large numbers of Volunteers so wait for your turn.

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Email *

Your email

PART 1. BASIC INFORMATION

Full name (CAPITAL LETTERS): *

Your answer

Gender: *

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Male

Female

CNIC No. *

Your answer

Designation *

Your answer

PMDC Reg. no

Your answer

Institution *

Your answer

City *

Your answer

Permanent Postal Address: *

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Contact No. *

Your answer

Whatsapp No. *

Your answer

Date *

MM

/

DD

/

YYYY

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