LHU FELLOWSHIP APPLICATION FORM
E-Posta
First (Personel) Name
Last (Family) Name
Gender
Date of Birth
Primary Language
Languages Spoken
Country
Current Home Address
Primary Telephone Number
Passport Number
Current Employer
Degree Earned
MD
MBBS
PhD
Please choose the departments below.
Anatomy
Gastroenterology
Ophthalmology
Biochemistry
Internal Medicine
Gynecology and Obstetrics
Anaesthesia
Cardiology
Otorhinolaryngology
Microbiology
Neurosurgery
Orthopedics and Traumatology
Physical Medicine and Rehabilitation
New Born Unit
Endocrine and Metabolism
Radiology
Infection Diseases
Urology
General Surgery
Neurology
Choose Your Rotation Period
Requested Starting Date
Requested Ending Date
References
If you have a note you want to add
Gönder
Thank You