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Title is Required
Title is Required
Phone Number:
Your Phonenumber
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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
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PMDC No Required
Institute:
Your Institute
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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 :
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  • 29th NIDP Course
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Your Photograph:
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Payment Receipt:
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Your Address
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Please deposit Rs.20,000/- for 29th National Intensive Dermatology preparetry Course in Account # : 00110100635470
Bank: Askari Bank Tufail Road Lahore (Center for Skin Problems )