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News:

Ibn Sina Polyclinic announces the opening of the Ophthalmology Department which is equipped with the latest equipment for eye care and is staffed by skilled ophthalmologists who offer the following services:

Visual acuity tests
Visual field tests
Diagnosis and treatment of all eye related problems
All surgical procedures using the latest technology (Lasik, cataract extraction and intra-ocular lens implantation, glaucoma, squint and oculoplastic surgery )

APPLICATION FORM

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PERSONAL INFORMATION

First Name *
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Gender* Male Female
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Permanent Address

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Contacts (At least one phone no. is required) *

Home Tel. No.
Office Tel. No.
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Education & Professional Qualifications

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Major of Study *

Language Skills English Language...Can't SpeakPoorFairGood...Can't ReadPoorFairGood...Can't WritePoorFairGood

	Speaking	Reading	Writing
Arabic Language	...Can't SpeakPoorFairGood	...Can't ReadPoorFairGood	...Can't WritePoorFairGood

Computer Skills

	MS Word	Excel	Powerpoint
Applications	...NonePoorFairGood	...NonePoorFairGood	...NonePoorFairGood
Typing Speed	English	Arabic
words/minute (wpm>
Computer Hardware Skills	Yes	No

Training Courses and / or Experience

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* I certify that all information in this application form is accurate and true to the best of my knowledge.....

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APPLICATION FORM

Ibn Sina Polyclinic