Medical Insiders LLC

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Medical Insiders LLC

iMAC - Dubai Wave 5 registration form

Name *

Please type your full name.

Gmail *

Please type your google email (gmail only) correctly.

Mobile No. *

Please type your mobile No. that is active on whatsapp correctly.

Current Position *

Please type your current position in your company.

Current Employer Company *

Please type your current employer company.

Years of Experience *

Please select the number of years of experience in your current position.

Less than 2 years.

More than 2 years.

Linkedin Profile *

Please provide your linkedin profile URL. (Please make sure the URL is copied correctly as a linlk)

Area of Residence *

Please Specify your area of residence.

Dubai

Other:

Regarding the Venue:

The venue for Physical attendance is Anantara Business Tower - Dubai https://maps.app.goo.gl/JAVyS5BHBKTCpQ1a9?g_st=iw

Attendance Channel *

How would you like to attend the program? (NB: program is delivered through a hybrid physical and virtual model with the same content)

Physical Attendance

Virtual Attendance

How did you know about iMAC program? *

Please specify how you knew about iMAC program & Medical Insiders LLC.

Facebook

Website

Referral of a friend

Other:

What is your preferred communication channel? *

Please specify how would you like us to contact you.

Phone calls

Emails

All

Other:

Schedule summary:

Untitled Title

Program tuition fees including:

The whole program attendance on-site or virtual
Medical Insiders Panel Assessment Center
United Kingdom - CPD Accreditation certificate (24 credit hours)
is 2500 AED.

To enjoy Early bird Registration or group registration discount, please contact Dr. Ahmed Mohey via phone call or whatsapp at +97150117 2857.

Promo Code

Please enter your Promo or Referral Code (if any).

Consents *

Please consent regarding the following aspects if you agree.

I consent that I am willing to attend at least 5 out of the 6 classes of MI - iMAC (including a Mock Assessment) to receive the Certificate of Attendance at the end of the program.
I consent that I am willing to receive a phone call from one of Medical Insiders' CRM team for discussion and follow-up.
I consent knowing that some of the guest speaker sessions might be conducted virtually.
I consent that my participation in Medical Insiders classes and workshops may be documented in photographs and utilized for social media purposes.
I consent that I have read and accepted the info regarding the Venue, Schedule & Tuition.
I consent that I have read the Privacy policy

I consent to all of the above.

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