Mouwasat Hospital Dammam – Training & Career Development Department General Registration Form Please fill up the form electronically, handwriting is not acceptable, then email it to: education@mouwasat.com The Activity Title: in the Field of Orthopaedics and Rheumatology” “Controversies The Activity Date: 27-Oct-2018 Please ensure this is the correct spelling of your name and your SCFHS Card No. in order to enter your data on the SCFHS website to get CME SCFHS Card No *:------------------------------ Name*:------------------------------------------ ----------------------------------------- Hospital: ------------------------- Specialty (Job ------------------------------------------ Mobile: Address*:--------------------------------- * means necessary information. more information ♣For Training & Career Development Department Tel: +966 13 820 0000 Ext: 2403/ 2413/ 2416 Web site: http://www.mouwasat.com
Mouwasat Hospital – Dammam Training & Career Development Department General Registration Form Please fill up the form electronically, handwriting is not acceptable, then email it to: education@mouwasat.com The Activity Title: “Controversies in the Field of Orthopaedics and Rheumatology” The Activity Date: 27-Oct-2018 Please ensure this is the correct spelling of your name and your SCFHS Card No. in order to enter your data on the SCFHS website to get CME Name*:------------------------------------------ SCFHS Card No *:------------------------------ Specialty (Job ------------------------- Hospital: ----------------------------------------- Mobile: ------------------------------------------ Address*:--------------------------------- * means necessary information. ♣For more information Training & Career Development Department Tel: +966 13 820 0000 Ext: 2403/ 2413/ 2416 Web site: http://www.mouwasat.com
registration_form_31.docx