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The Poll

Registration

Print the new registration form, fill it & send it. downoad

SOCIETY MEMBERSHIP
Mail P.O.Box 18401 Qatif 31911– Saudi Arabia
Telephone: +966 03 836 0117  -   +966 505477671
Fax: +966 03 853 0560  
E-mail: Secretary@papna.org

 


Pan Arab paediatric of Nephrology association
Please print this page and send it to us :
 
Name:  
Institution:  
Position/Title: 
Department: 
Address: 
Country: 
Telephone number 
(country/city code):
Tele fax number 
(country/city code):
Mailing address 
(if different from above):
 
Education and Training
College or University 
Degree obtained 
Date: 
Specialty: 
Area of Interest: 
 
Please indicate what percentage of time you spend in:
 % Research & development
 % Professional society activities and committees
 % Clinical Practice
 % Management and administration
 
Of which other medical societies are you a member?
e.g. PAPNA
 
Please provide the names of two members of PAPNA for references:
1-
2-
 
Signature Date