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Membership

 

Please download and print this form and send via courier to:

Joint Secretary PSR
Dr. Saira Elaine Anwar Khan
MBBS, MRCP(UK)
SCE Rheumatology (UK)
Senior Registrar
Division of Rheumatology
FMH College of Medicine & Dentistry,
Lahore

 

Download Membership Form

Membership

 
Please download and print this form and send via courier to:

Office# S-33, 2nd Floor,
Shadman Mall,
49 Shadman Market, Lahore.
Pakistan
 
 
Personal Information:
 
First Name:
Last Name:
   
Qualification with details:
   
Email Address:
Date of Birth:
   
   
Work Address:  
   
Hospital:
Phone:
Address1:
Address2:
   
Private Clinic:
Phone:
Address1:
Address2:
   
Home Address:  
   
Address1:
Address2:
Phone:
Mobile Phone:
   
Present Appointment:
   

Experience and special interests in Rheumatology, including previous
appointments, training and practice, Publications and present Scientific
societies.

 

Please send all correspondence to my:

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