King Abdullah International Medical Research Centre

Eastern Region
Al Ahsa and Dammam
Ministry of National Guard Health Affairs

Contact Info:

(013) 5629127
(013) 5629124

Email: Kaimrcep2-er @ngha.med.sa

COURSE REGISTRATION FORM

Please print clearly. This will be the name printed on your certificate.

First Name E m a n

Middle Name A l i
Last Name A l m o m e n
SCFHS 1 8 K N 0 0 0 1 0 0 9
Saudi Council Prof.#

Professional Title: Nurse specialist

NGHA Badge No.: Nationality: Saudi
Hospital: Maternaty and child hospital
Department : Alahssa
City:

Contact Numbers (Please include telephone area codes if applicable):

Telephone: 0500155923 Pager:

Fax Number: Mobile Phone: 0500155923

E-mail: ammon2009@hotmail.com

COURSE TITLE: Research methodology

COURSE DATE: 17/09/2019

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after the registration.

Prepared By: RM/Educ.HS 2016