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
Position *
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).
E-mail *
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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