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Registration for IFOM CSE (in Kyiv, 2018)
Dear student, you may register to take part in IFOM Clinical Sciences Examination in November 2018. Exam IFOM is held in English in computer format in Kyiv.
Email address *
ID of licensing exam Krok *
9-digit number that is used for licensing exam Krok
Last Name (in English) *
First Name (in English) *
Birth Month *
Birth Day *
Birth Year *
Gender *
Start of Medicine program (Month) *
Indicate month when you started the 1st course of Medicine program at university
Start of Medicine Program (Year) *
Indicate year when you started the 1st course of Medicine program at university
Expected Graduation from Medicine Program (Month) *
Expected Graduation from Medicine Program (Year) *
Аdditional E-mail
Class Level *
Indicate your year of study
Medical school *
Required
Additional First Name or Middle Name or Patronymic (in English)
Additional first name (in English)
Last name (in Ukrainian) *
First name (in Ukrainian) *
Additional First Name or Middle Name or Patronymic (in Ukrainian)
Country of origin (citizenship) *
Passport number *
Passport number should match passport under which student is registered for licensing exam Krok
Phone number *
Phone number in format +380XX-XXX-XX-XX
Date desirable for IFOM *
Year of Krok 1 Medicine Exam *
Result of Krok 1 Medicine Exam *
Krok 1 Medicine Certificate Number
Upload your recent color photo *
Please, name your file in such way: Last name_ID licensing exam_photo
Required
Upload scan of your passport *
Please, name your file in such way: Last name_ID licensing exam_passport
Required
Submit
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