Registration for DKA/ ASUVH 4th Medical Webinar (Paediatric Emergencies) on 14.11.2024, Online for Sudan default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Important note: Please fill in the application in English langauge. Arabic written applications will not be considered. idnetical applications will not be considered as well. There are 16 questions in this survey. Registration Disclaimer: None of your information will be used for marketing, shared to a third-party or used publicly without your explicit consent. Please provide your personal information here (This question is mandatory) Gender Choose one of the following answers Female Male (This question is mandatory) Academic Title Choose one of the following answers Please choose... Prof. Dr. Masters Student Ph.D. Student None Other: Other: (This question is mandatory) Full name please write the name as you would want it on the certificate (as stated on your passport) (This question is mandatory) National ID Only numbers may be entered in this field. (This question is mandatory) E-mail address Please check the format of your answer. (This question is mandatory) Mobile number (This question is mandatory) Age Only numbers may be entered in this field. (This question is mandatory) Current employer / Institute Choose one of the following answers Please choose... Ahfad University Al Fashir University Al Zaiem Alazhari University Gezira University Khartoum University National Center for Research Sudan Neelain University Red Sea University Sudan University of Science & Technology University of Al Butana University of Bahri University of Gadarif University of Kordofan University of Shendi Other: Other: (This question is mandatory) Department / Faculty / Discipline Position (This question is mandatory) Last Degree Obtained Motive (This question is mandatory) Vision of Research Please elaborate on your field of studies, your specific interest in it, and the value added of your approach to the subject. max 200 words. (This question is mandatory) Why do you want to attend this module? Relevant Criteria: - Personal motivation - Module Relevance for your career - Benefits for your Organization (This question is mandatory) What topics you expect this module to cover? (This question is mandatory) Which Skills do you expect to gain and what do you hope to do differently after attending this workshop? (This question is mandatory) Why do you think you should be selected to participate? Relevant Criteria: Field of specialty Former achievements Current project Multiplier effect (in a position to transfer gained experience to others) Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey Toggle navigation Load unfinished survey Resume later Exit and clear survey ×