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Full Name English
Full Name Arabic
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Nationality
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Afghanistan
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Burma (official name Myanmar)
Burundi
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Chad
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England
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Fiji
Finland
France
Gabon
Gambia, the
Georgia
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Guinea
Guyana
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Holland (also Netherlands)
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Hungary
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Italy
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Japan
Jordan
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Mali
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Mexico
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Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar see Burma
Namibia
Nepal
Netherlands, the (see Holland)
New Zealand
Nicaragua
Niger
Nigeria
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Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
the Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
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Scotland
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Serbia
Seychelles, the
Sierra Leone
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Solomon Islands
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Spain
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Sweden
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Tobago
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Palestine
République tchèque
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Email
Contact Number
Profession
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Physicians
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Nurses and Midwives
Pharmacists
Technicians
Allied Health Care Professionals
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Residency Status
Civil/Resident ID
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Passport Number
Work Details
Employment Status
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Sector
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Staff Id
Job Title
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Assistant
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Specialist
Specialist A
Specialist B
Specialist C
Senior Specialist
Consultant
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Clinical
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Assistant Professor
Lecturer
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Academic
Director General
Deputy Director General
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Head of Clinical Unit
Other
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Sector
Sector Type
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Govt
Private
Sector
please specify if other Institute
Job Title
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Assistant
Medical Officer
Senior Medical Officer
Specialist
Specialist A
Specialist B
Specialist C
Senior Specialist
Consultant
Senior Consultant
Clinical
Intern
Resident
Professor
Associate Professor
Assistant Professor
Lecturer
Program Director
Assistant Program Director
Program Trainer
Academic
Director General
Deputy Director General
Department Director
Head of Clinical Unit
Other
please specify if other job title
Offer Letter
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Civil Id will be used as your
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