OSEM Membership Form
Become a member today
All emergency department staff are encouraged to apply .
Registration will close on March 29th 2017.
Full name: *
Your answer
Institute: *
Your answer
Staff Number: *
Your answer
Email: *
Your answer
Phone: *
Your answer
Membership category: *
I am... *
Please deposit the registration fees to: Bank Muscat - Qurum Branch, Oman Society of Emergency Medicine , Account number: 0316005366510242 To assist in the allocation of your bank transfer payment, please email omanemergency@gmail.com a copy of your payment slip immediately after payment. For inquiries email omanemergency@gmail.com
I have read the terms and conditions governing the membership in Oman Medical Association. I am currently working in one of the health institutes in the Sultanate of Oman in good standing.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service