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Registration form of Online Public Health Certificate Program at ICUH
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Last name
*
example: Baatar
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Given name
*
example: Bold
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gender
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male
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Age
*
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20
21
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Study level
*
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Master (M.Sc)
Doctor (Ph.D)
Study course
*
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1
2
3
Mobile phone
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example: 99123456
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E-mail
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abcd@abcd.com
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