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Undergraduate Medical Education Application Form

Biographic Information

Nationality:

Gender:

Female
Male

Martial Status:

Married
Single

Education Information

University

Graduation Year:

Studying Level:*

Medical Student
Internship

GPA:

Out of:

5
4

Had a previous training at KFSH&RC?

Training Types

Please Choose Training Type: *

Clinical Research Training

Fulltime- Clerkship medical Education

Select First Rotation

Start Date

End Date

Select Second Rotation

Start Date

End Date

Select Third Rotation

Start Date

End Date

Select Fourth Rotation

Start Date

End Date

Select Fifth Rotation

Start Date

End Date

Select Sixth Rotation

Start Date

End Date

Select Seventh Rotation

Start Date

End Date

Select Eighth Rotation

Start Date

End Date

Select Ninth Rotation

Start Date

End Date

Medical Internship Training

Please ensure selected period covers 1 month, example 1/9/2020 to 30/9/2020

Select Rotation

Start Date

End Date

Summer/Elective medical student training

Please ensure selected period covers 1 month, example 1/9/2020 to 30/9/2020

Select Rotation

Start Date

End Date

Clinical Research Training

Select Rotation

Start Date

End Date

Required Documents (PDF files, size 2 mb )

Letter University

Program Objectives or/ AY calendar or/ Evaluation

CV and Photo

Valid BLS/ ACLS Certificate

Academic transcript / Graduation certificate (if any)

Healthcare Screening Test

Copy of National ID / Iqama and Passport

Confidentiality Statement and Acknowledgment Statement [Download] : acknowledge