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Guild of Medical Directors (GMD): Form for Guild of Medical Directors
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Guild of Medical Directors (GMD): Form for Guild of Medical Directors
Guild of Medical Directors (GMD)
Title
- Select -
Prof
Dr
Mr
Mrs
Ms
Registrant Details
First Name
Last Name
Email
Email
Confirm Email
Phone Number
Mode of Participation
- Select -
Physical
Virtual
Organization
Specialty
Specialty
- Select -
Anaesthesiologist
Cardiologist
Cardiothoracic Surgeon
Chemical Pathologist
Chemo Oncologist
Community Medicine
Community Dentistry
Dental Surgeon
Dermatologist
Health Physician
Ear, Nose & Throat Doctor (ENT)
Emergency Medicine
Endocrinologist
Family Medicine
Gastroenterologist
General Dentistry
General Medical Practice
General surgeon
Geriatrician
Haematologist
Haemato-Pathologist
Histopathologist
Implantologist
Internal Medicine
Medical Microbiologist
Mental Health
Nephrologist
Neurosurgeon
Neurologist
Obstetrician & Gynaecologist
Oncologist
Ophthalmologist
Oral and Maxillofacial Surgeon
Oral and Maxillofacial Pathology
Oral Radiologist
Orthodontist
Orthopaedic Surgeon
Paediatrician
Paediatric Cardiologist
Paediatric Dentist
Paediatric Surgeon
Pathologist
Periodontist
Plastic Surgeon
Prosthodontist
Psychiatrist
Public Health Physician
Pulmonologist
Radiologist
Restorative Dentist
Rheumatologist
Surgical Oncologist
Urologist
Others
Other…
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State
--Select an Option--
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Federal Capital Territory (FCT)
Participant(Late Registration ends 31st October)
Amount
Quantity
- None -
1
2
3
4
5
Payment
