Registration Form | Evidence-Based Management for Non–Communicable Disease in Primary Care
By 
Department of Family Medicine
Liaquat National Hospital
Karachi, Pakistan.
Registration deadline  : 20th April 2024  
Email *
Name *
Father’s/Husband’s Name:
 *
Date of Birth
 *
MM
/
DD
/
YYYY
CNIC Number
(Example: 40001-1234567-0)
PMC/PMDC Number
 *
Mailing Address
 *
Mobile Number/WhatsApp Number
 *
Name and Year of Graduation from Medical College
 *
Current Designation and Working place
 *
Payment Mode
 *
Where you heard about us
 *
Instruction/Declaration (Please send required documents at familymedicine@lnh.edu.pk
1. MBBS Degree
2. PMDC/PMC
3. CNIC
I testify that all the information in this form is correct to the best of my knowledge. I understand that withholding or providing false information will make me ineligible for admission in this course
 *
Thank you
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