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Communication Skills Training Program
October 25, 2025
Title (Prof, Dr, Mr, Mrs, Ms)
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Prof
Dr
Mr
Mrs
Ms
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First Name
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First Name is required.
Middle Name
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Middle Name is required.
Last Name
*
Last Name is required.
QID
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QID is required.
Enter a valid 11-digit ID number.
Medical Licence Number
*
Medical Licence Number is required.
E-mail
*
E-mail is required.
Invalid email format.
Confirm Email
Confirm Email is required.
Email and Confirm Email must match.
Mobile Number
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Mobile Number is required.
Enter a valid phone number (8-15 digits, optional +).
Position/Role
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Position/Role is required.
Organization
*
Organization is required.
Fees
*
Physicians QR-200
Nurses & Other Med/Paramedical (Allied Health Professionals- Dentists or Pharmacists) QR-200
Non-HMC Registrants - QR -300
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Corp. No. – HMC
Gender
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Male
Female
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Year of Birth
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Year of Birth is required.
Nationality
Confirmation
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