Name*
Father / Husband Name
Age
PMDC No*
Cell / Telephone No*
I.D Card No*
Address*
Qualification* FCPSFRCSConsultantTrainee
Hospital Experience* ERCPColonoscopyEUSPrior ExperienceYesNoOther
Applied for* Hands onObserver
No of Year Experience (ERCP, Colonoscopy, EUS)*
Current Organization/Institute*
Attached Documents* CVNOCReferral Letter From Supervision
File Upload*
Account Detail
Title: Sindh Institute of Advanced Endoscopy and Gastroenterology (Donation)
IBAN: PK39FAYS3407787000003738
Account #: 3407787000003738
Faysal Islamic Bank Limited
Note: Please note that charges must be paid only after receiving a confirmation email. Failure to do so may result in non-refundable payment.
