Regional professional diploma in family medicine

Information on the programme and eligibility

For queries, please send us an email or contact us at +201284081521

Tuition fees are US$ 2300 in installments
Personal information
Biography
*

First Name Middle Name Last Name
Date of birth *

Month Day Year
Country of birth *
Sex *
Country of citizenship *
Contact information
Current residence
Country *
City *
Postal code
PO box
Phone number *
Primary number
Alternate number
Email address *
Primary email
Alternate email
Other information
Primary, native language *
English proficiency *
Reading *

Beginner Intermediate Advanced/proficient
Speaking *

Beginner Intermediate Advanced/proficient
Writing *

Beginner Intermediate Advanced/proficient
Computer proficiency *
Microsoft Word *

Basic Intermediate Advanced
Microsoft PowerPoint *

Basic Intermediate Advanced
Other computer skills
Academic and professional history
Undergraduate and graduate studies
Name of university/academic institution *
Country *
City *
Year of graduation *
Degree *
Additional undergraduate and graduate studies
Name of university/academic institution
Country
City
Year of graduation
Degree
Postgraduate degrees/qualifications
Additional qualifications
Degree

Fellowship/subspecialty Postgraduate Diploma Master’s degree Doctor of Philosophy [PHD] Other
Specialty
Degree year
Degree

Fellowship/subspecialty Postgraduate Diploma Master’s degree Doctor of Philosophy [PHD] Other
Specialty
Degree year
Medical license information
Do you currently hold a valid license for clinical practice *

Yes No
Country *
Licensing body *
Date *

Month Day Year
Does the license have a validity date? *

Yes No
Validity of the license ends on *

Month Day Year
Date
Current clinical practice
Years of clinical practice *
Country *
Current post *
Name of the organization that currently employs you *
Supporting documents

Provide supporting documentation for your application
Resumé/CV *

Cancel of
Personal statement *

Cancel of
Certified original copy of degrees *

Cancel of
Medical practice license *

Cancel of
Letter of employment detailing your years of experience in primary health care facilities and your suitability for the training programme *

Cancel of
Valid identification card (must include a photograph) *

Cancel of
Photograph *

Cancel of
Programme information
How did you hear about the Regional Professional Diploma in Family Medicine? *

Facebook Website Recommendation from a colleague Email from university/institute Ministry of health Other
When will you be able to start the programme? *

April 2022 October 2022
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Personal information

Biography

Contact information

Other information

Academic and professional history

Undergraduate and graduate studies

Additional undergraduate and graduate studies

Postgraduate degrees/qualifications

Additional qualifications

Medical license information

Current clinical practice

Supporting documents

Programme information