The deadline to be fully registered, reviewed and approved by us is 29 April, 2022. For infoAdvisory NoteContact us * LISCR.

MED-F-008-A01 Doctor Form

MED-F-008-A01 Doctors Registration - All

A. APPLICATION INFORMATION

Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.

B. GENERAL INFORMATION

Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.
Requested. (Editable)
Requested. (Editable)
Optional. (Editable)
Optional. (Editable)
Optional. (Editable)

C. CERTIFICATION

Requested. This field is editable by registry staff, only.
Requested. (Editable)
Use this field only if applicable, only.
Requested. This field is editable by registry staff, only.
Requested. (Editable)
Use this field only if applicable, only.
Optional. (Editable)
Optional. (Editable)
Use this field only if applicable, only.
Optional. (Editable)
Optional (Editable)
Use this field only if applicable, only.
Requested. (Editable)
Requested (Editable)
Use this field only if applicable, only.
C.10. Resume Filed
Requested. This field is editable by registry staff, only.
C.11. Professional ID Card Filed (Optional)
This field is editable by registry staff, only.
C.12. Maritime Course Cert. Filed (Optional)
This field is editable by registry staff, only.
C.13. Diploma Filed (Doctor)
Requested. This field is editable by registry staff, only.
C.14. ID Filed (Ex. Passport)
Requested. This field is editable by registry staff, only.
C.15. National Health Auth. Cert. Filed
Requested. This field is editable by registry staff, only.
C.16. National Maritime Auth. Cert. Filed
Requested. This field is editable by registry staff, only.
C.17. Other Supporting Docs. Filed
This field is editable by registry staff, only.
If you have pending documentation to provide us, you can upload it here
Optional. (Editable)

D. REVISION

Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.
Requested. This field is editable by registry staff, only.
To hide the clinic from the public list of clinics
Optional. (Editable)