Apply Now

Title:
  • - select your title -
  • Mr.
  • Mis.
  • Mrs.
- select your title -
Title is Required
Title is Required
Phone Number:
Your Phonenumber
Phone Number Required
Phone Number Required
Email:
Your Email Address
Email Id Requied
Email Id Requied
RTMC Number:
Your RTMC Number
RTMC Number Required
RTMC Number Required
PMDC No:
Your PMDC Number
PMDC No Required
PMDC No Required
Institute:
Your Institute
Institute Requied
Institute Requied
First Name:
Your First Name
First Name Required
First Name Required
Last Name:
Your Last Name
Last Name Required:
Last Name Required:
Father / Husband Name:
Your Father / Husband Name
Father / Husband Name is required
Father / Husband Name is required
Gender:
gender required
gender required
Level:
Level Required
Level Required
CNIC:
Your CNIC
Your CNIC Required
Your CNIC Required
Please select your course :
  • - select a option -
  • 31st NIDP Course
- select a option -
No Empty
No Empty
Your Photograph:
Upload your Photo
Photograph required
Photograph required
Payment Receipt:
Upload your Payment Receipt
Field is required!
Field is required!
Your Address
Field is required!
Field is required!

Please deposit Rs.20,000/- for 31st National Intensive Dermatology preparatory Course in Account # : 00110100635470 Bank: Askari Bank Tufail Road Lahore (Center for Skin Problems )

Field is required!
Field is required!
Field is required!
Field is required!