Education
Type of training |
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Theme of training |
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Training time/Duration |
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Name, Surname (full name)
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Date of birth
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Held position |
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Work experience of ophthalmologist |
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The full name of the medical institution |
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Name, Surname (full name) of the hospital chief executive |
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The address and phone / fax of medical institution/hospital |
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Number of your mobile phone |
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Your e-mail
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Signature |
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