Address
Al Hamra District, Riyadh

CCLSP Course Registration Form

Date

First Name

Last Name

Name as you would like it on your attendance certificate

Current Position

Employer

Country of Residence

Cell Phone

Pick Your Course Dates From The Dropdown Menu

Payment Method-PayPal. Click here to create PayPal Account:

Registration Fee: $250.00. Click here to pay.

Terms and Conditions:

1. Courses dates and times are tentative, but they should be the same every year. If changed, the new dates and or times will be announced early enough to those who registered.
2. Usually, courses times will be from 4:30-10:00 PM (UTC + 3:00-Riyadh time) every day for 5 days. If changed, the new will be announced early enough to those who registered or before registration.
3. Attendees will get an attendance certificate with 10 CE hours.
4. Courses offered via online (virtual) interactive training.

I, the undersigned, authorize The Accreditation and Quality Doctor (TAAQD) to use the personal data received through this application / registration form for purposes relating to its activities. Further, I verify that this form is complete to the best of my knowledge and the information provided is accurate and true. If you have an issue or a question, please contact us by email (AAQDoctor@gmail.com)

Signed

CCLSP Course Registration Form

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CCLSP Course Registration Form

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