Enroll in training courses – BNHAS

APPLICATION FOR TRAINING COURSE

Name *
CPR No *
Date Of Birth *
Address *
Type of disease *

Sickle cell diseaseThalassemiaOther

Email *
Contact No *
Nationality *
Occupation & Occupied *
Marital status *

SingleMarriedStudent
Parents /father / mother *

Sickle cell diseaseThalassemia
Scientific Qualification *
The last certificate you got *
Graduation Percentage *
Type of training course *
Institute *
Birth certificate

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Photo

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Medical report

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Cpr

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I am the applicant

of the validity of all my above data and the regularity of the
study and the submission of exams on time as possible, as well as I promise to
pay all the expenses of the course in case of absence without notice and the
failure of the institute in case of any emergency to postpone the course