emas logo 160x60 a   PANEL SPECIALIST DOCTOR ENROLMENT FORM

     With Passion to Serve the Community


 

A.1  SPECIALIST DOCTOR’S PARTICULARS

 

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A.2 Doctor's Qualifications

 

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A.3 Memberships and Current Status

(Overseas consultants, please submit PG & Medical Council Registration Certificates)

 

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A.4 Contact Details

 

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B. Bank Details

 

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C. Availability and Times

 

Morning Hours

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Evening Hours

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National Holidays

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Response Time

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Consulting States

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Alamat

Aras 2 MMA Building
124 Jalan Pahang
53000 Kuala Lumpur
Malaysia

Talian Hubungan

Telefon: +603 4041 3627
Faks:   +603 4041 8627
Whatsapp: +6018 788 3627

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