KIMS Faculty Registration Form
Full name
Please type your full name in English e.g. Ahmed Ali. Please do not include your title (Dr., Prof., etc.).
Your answer
Civil ID number
Your answer
Primary training program
Role in the program
Please select all applicable.
Other programs
Please select all appropriate.
Training site(s)
Please select only the training sites in which YOU provide training. If the site you provide training at is part of a larger hospital or organization, please select the latter (e.g. Al-Bahar Eye Center is part of Ibn Sina Hospital).
Your answer
Contact number
Please provide your mobile telephone number. You do not need to include the +965 country code.
Your answer
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