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Application Form: Free Online Training on Medical Equipment Usage
Instructions:
Please fill in the required information below to enroll in the 3-month free online training.
NB: Certificates will be issued to candidates who fully participates for the 3-month period.
* Indicates required question
Email
*
Record my email address with my response
Full Name
*
Your answer
Email address
*
Your answer
Gender
*
Male
Female
Prefer not to say
Other:
Enter your WhatsApp number starting with country code [eg; +2335467489]
*
Your answer
Country
*
Your answer
Profession
*
BioMedical Engineer
Electrical Engineer
Hospital Engineer
Surgeon
Nurse
Doctor
Lab Technician
Other:
If you choose Other at the profession section, please specify
Your answer
Areas of Interest
(Select the equipment you are most interested in learning about.)
*
MRI
CT
Fluoroscopy
Radiography
Mobile C-arm
Mammography
Ultrasound
Patient Monitors
Medical Pumps
Ventilator
Surgical Lights
Surgery Tables
Anesthesia Unit
ESU
Required
Consent and Acknowledgment
I agree to the terms and conditions of the training program. And for my data to be used by the training facilitators for the internal purposes of the success of the program.
*
Yes
No
Other:
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