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Select Type:

Personal Infomation

Title:
First Name:
Middle Name:
Last Name:
Gender:
Date of Birth
Address:
City:
Postal Code:
Telephone:
Fax:
Email:
Mobile:

Workshop Details

Workshop Name:
Duration:
Who is expected to pay your registration fee:

Academic Qualifications

University/College/School Attended


Degree /Graduate of


Year Graduated


Full Time / Part Time


Working Experience

Select One: Student Professional

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Terms of Payments

The payment for the Registration Fees should be done via bank transfer to the following bank account:
BANK ACCOUNT DETAILS:
Account No. 15024987
Account Name: TATHQEEF HEALTH TREATMENT UNDERTAKINGS SERVICES
Bank & Branch: Abu Dhabi Islamic Bank – Al Ain Ladies Branch
IBAN NO: AE860500000000015024987



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