Doctor Registration | Digital Health Care Foundation

Name*

Email*

Educational Qualification **

Current Workplace* (Please write the full name of your current organizational affiliation (e.g Bangabandhu Sheikh Mujib Medical University, Dhaka Medical College and Hospital)*

Work experience*

Specialties

BMDC Registration

Phone Number (Without '+' including Country Code) *

Expected Consultation Fee

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Signature

Consent*

I confirm the information provided on the form are authentic to my best of knowledge.

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