Please Note: This form is for scientific committee members only.
Scientific Committee
*
Please Select
Head of Scientific Committee
Anterior Segment
Glaucoma
Neuro-Ophthalmology
Ocular Oncology
Oculoplastic, Orbital & Lacrimal Surgery
Optometry Subcommittee
Pediatric Ophthalmology & Strabismus
Saudi Young Ophthalmology Group
Uveitis
Vitreoretinal Diseases & Surgery
Position in Committee
*
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Chair
Member
Full Name
*
Email
*
example@example.com
Phone Number (International Format)
*
WhatsApp Number
*
Place of Work
*
City
*
Please Select
Riyadh
Jeddah
Mecca
Medina
Al-Ahsa
Ta'if
Dammam
Khamis Mushait
Buraidah
Khobar
Tabuk
Ha'il
Hafar Al-Batin
Jubail
Al-Kharj
Qatif
Abha
Najran
Yanbu
Al Qunfudhah
Saudi Commission for Health Specialties Number
*
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Please upload your CV
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Saudi ID (Front Side)
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Saudi ID (Back Side)
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