JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SSLM Membership Registration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
الجمعية السعودية للطب المخبري
SNB IBAN: SA4710000081100003550409
Email: sslm@kau.edu.sa
Which of following activities would you like to attend for free with your one time membership offer?
Clinical Laboratory Leadership and Management - Riyadh
Clinical Laboratory Leadership and Management - Jeddah
Would like to choose a different future activity
Full Name (English)
*
Your answer
(عربي) الاسم الرباعي
*
Your answer
Phone Number (05555*****)
*
Your answer
Gender
*
Male
Female
Date of Birth (
Optional)
MM
/
DD
/
YYYY
Country and City
*
Your answer
Specialty and Subspecialty
*
Your answer
Institution and
Position
(
Optional)
Your answer
Saudi Commission for Health Specialties Number
(
Optional)
Your answer
Would you like to get involved with the Society?
*
Volunteer in activities or committees.
Giving a lecture or a workshop.
Writing an aritical or a policy.
Funding a project or an activity.
I would like only to recive recent activities and latest news.
Required
Please write any feedback (Optional)?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
