Registration - AMR

Certificate course on rational use of antimicrobials and preventing AMR

Name

Age

Gender

Email Address

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Medical Council No

Qualification

Speciality

General Practice Experience

General Practice Setting

Sector Where Practising

Practice Location

Do you also work in academics (teaching hospital/institute) in addition to your General Practice?

Are you involved in teaching in a medical institute, but do not have general practice?

Name

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Age

Gender

Year of Study

Medical College Location

Is your medical institute government or private?

Name of College

College Enrollment Number

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