Applicant's Information
Thank you for your interest in KSU MTM Certification Course. Please accurately fill in the information below to process your application.
Full Name
*
First Name
Last Name
National ID/ Iqama Number
*
Phone Number
*
-
Area Code
Phone Number
Preferred Email
*
example@example.com
City
*
e.g. Riyadh
Professional Title
*
Pharmacy Student
Pharmacy Intern
Pharmacy Resident/Fellow
Pharmacist
Clinical Pharmacist
Other
Course Info and Fees
Registration closes 10 days prior to the program date OR once the program reaches full capacity.
Course's Date and Location
*
December 24, 2022 (Location: Riyadh)
January 2, 2023 (Location: Dhahran)
February 18, 2023 (Location: Riyadh)
Specific Fees -Limited offer 20% discount (Eligibility will be confirmed first)
*
Pharmacist 1,200 SAR (was 1,500 SAR - $400)
Pharmacy Student/Intern/Resident 900 SAR (was 1,125 SAR - $300)
Eligibility Confirmation Document
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Please provide a proof of being a pharmacy student/Intern/Resident for special rate eligibility
Cancel
of
Payment Verification
Please make the payment to Beneficiary (Innovation Design Trading Est.) with IBAN (SA5620000002011446829940) at Riyadh Bank and upload the transfer receipt below in PDF format. You will receive final approval after payment verification and an enrollment code will be sent within 2-5 days to the email address found on the registration form. Follow the instructions on the enrollment code document to access the CPE activity.
Payment Receipt
*
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The document MUST be in PDF format
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of
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