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  • And Surgeons Pakistan: College of Physicians

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    Muhammad Tahseen
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    The document is a registration form for a continuing medical education workshop. It provides information about a Dr. Abdur Rahman Ansari who is registering for an FCPS workshop in Medicine at the Ziauddin Medical University and Hospital in Karachi, Pakistan. It lists the three workshops - Communication Skills, Introduction to Computer & Internet, and Research Methodology, Biostatistics & Dissertation Writing. It also includes his contact and address information, fee payment details, and a declaration signed by Dr. Ansari.

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    The document is a registration form for a continuing medical education workshop. It provides information about a Dr. Abdur Rahman Ansari who is registering for an FCPS workshop in Medicine at the Ziauddin Medical University and Hospital in Karachi, Pakistan. It lists the three workshops - Communication Skills, Introduction to Computer & Internet, and Research Methodology, Biostatistics & Dissertation Writing. It also includes his contact and address information, fee payment details, and a declaration signed by Dr. Ansari.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views1 page

    And Surgeons Pakistan: College of Physicians

    Uploaded by

    Muhammad Tahseen
    The document is a registration form for a continuing medical education workshop. It provides information about a Dr. Abdur Rahman Ansari who is registering for an FCPS workshop in Medicine at the Ziauddin Medical University and Hospital in Karachi, Pakistan. It lists the three workshops - Communication Skills, Introduction to Computer & Internet, and Research Methodology, Biostatistics & Dissertation Writing. It also includes his contact and address information, fee payment details, and a declaration signed by Dr. Ansari.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    AACcreditation Council

    College of Physicians Fducation


    and Surgeons Pakistan forContinuing Medical
    learn well
    Exece lence in Higher Medical Education
    COLLEGE OF PHYSICIANS& SURGEONS PAKISTAN IS AcCREDITED BY THE ACCREDITATIIoN COUNCIL FOR CONTINUING MEDICAL EDUCATION

    TO PROVIDE CONTINUING
    MEDICAL EDUCATION FOR PHYSICIANS
    (ACCME)
    Application Date: 09-06-2022

    Form No: 2022-91145 Workshop Registration Form

    ABDUR RAHMAN ANSARI


    Full Name:
    Father's Name: QAISER SAEED ANSARI
    New NIC: 42101-2472312-1
    Date of Birth: 1994-06-25
    Gender/Marital Status: Male/ Single MBBS
    ansari19.ara@gmail.com Qualification Type
    Email:

    Registration Information
    MEDICINE
    Program: FCPS Speciality:
    Country/State/City: Pakistan, Sindh, Karachi
    KARACHI
    Institite: ZAAUDDIN MEDICAL UNIVERSITY & HOSPITAL,
    MAHMUD ZULQUARNAIN Unit/Department:
    Supervisor
    ANI
    CPSP ID: 2021-1 885
    MED-2021-201-17644
    RTMC #:

    Workshop(s) Details

    # Workshop Name Center

    Communication Skills KARACHI


    Introduction to Computer & Internet KARACHI
    Research Methodology, Biostatistics & Dissertation Writing KARACHI

    Present/Mailing Address (Residential Only)


    Address: FLAT NO. A 204 RAINBOw TOWER A NEAR GULSHAN E MAYMAR.
    Country/State/City: Karachi, Sindh, Pakistan
    Tel (Res.) Tel (Office):
    Cell: 03353272359 Postal Code:

    Permanent Address (Residential Only)


    Address: FLAT NO. A 204 RAINBOW TOWER A NEAR GULSHAN E MAYMAR.
    Country/State/City: Karachi, Sindh, Pakistan
    Tel (Res.): Tel (Office)
    Cell: 03353272359 Postal Code:

    Fee Information
    Fee Type: Bank Challan Center: Karachi
    Curreney: PKR Amount: 23000
    Receipt #: KHI-C-22-26304 Receipt Date: 09-06-2022
    Bank Name: UNITED BANK LTD
    Branch Name: Sunset Boulevard Branch, Karachi (1620)

    Declaration
    Above is corect to the best ofmy knowledge. Incorrect information may lead to cancelation oferollment/ admission /results and disciplinary action.

    Disclosure Information
    The activity does not have any commercial support, and its organizers, planners and speakers do not have ary relevantfinancial relationship

    Signature of Candidate: Dated: 09-06-2022

    e Overwriting or electronic change is not allowed on the hard copy of this application fom otherwise form may be rejected
    Candidates are advised to attach a hand written application if they want to change their
    partieulars

    page1/3

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