4184, Ajman, United Arab Emirates 00971 6 7431333 00971 6 7431222, 7431661 csgmc@emirates.net.ae www.gmu.ac.ae

SEMINAR AND WORKSHOP ON

LASERS INDENTISTRY

ACCREDITED BY MOH FOR 4.5 CME HOURS

Registration Fee: Doctors - AED 250 Students - AED 150

From 9:00am to 12:30pm

AtThumbay

Medical and Dental Speciality

Center, Sharjah

On Friday, 13th January

2017

REGISTRATION FORMPlease fill in CAPITALS / One form per person

Important note: • The certificates will be printed as per the name mentioned below.• For any reason, reprint of a certificate will be charged AED 20/-Prefix/title is mandatory ( Dr./ Mr./ Ms.)

Name:

Designation: ...................................................................................................................... Institution: ...........................................................................................................................................................................

P.O.Box: ............................................................................. Emirate: ................................................................................................................................................................................................................................................

Tel. No: ................................................................................................ Fax. No: ................................................................................................ Cell No. ................................................................................................

E mail: ................................................................................................................................................................................................................................................................................................................................................................

Signature: .....................................................................................................................................

4184, Ajman, United Arab Emirates 00971 6 7431333 00971 6 7431222, 7431661 csgmc@emirates.net.ae www.gmu.ac.ae

SEMINAR ANDWORKSHOP ONLASERS IN DENTISTRY

ACCREDITEDBY MOH FOR 4.5

CME HOURS

On Friday, 13th January 2017 • From 9:00am to 12:30pmAt ThumbayMedical and Dental Speciality Center, Sharjah

Register and pay online at: www.gmu.ac.ae You can also Register at any of the Cash Management Offices in:Gulf Medical University, Ajman: Tel: +971 6 7431333 • Fax: +971 6 7431661 /+971 6 7431222 Thumbay Medical & Dental Speciality Centre, Sharjah: Tel: +971 6 5358111 • Fax: +971 6 5358222Thumbay Hospital, Ajman: Tel: +9716 7463333 • Fax: +9716 7464444Thumbay Hospital, Fujairah: Tel: +971 9 2244233 • Fax: +971 9 2244277Thumbay Hospital, Dubai: Tel: +971 4 6030555 • Fax: +971 4 2988804Thumbay Clinic, Ajman: Tel: +971 6 7466661 • Fax: +971 6 7461616Thumbay Clinic, UAQ: Tel.: +971 6 7051533 • Fax: +971 6 7051534 Thumbay Clinic, Dubai: Tel: +971 4 2633133 • Fax: +971 4 2631330 Thumbay Clinic, RAK: Tel: +971 7 2267464 • Fax: +971 6 2267997 Thumbay Clinic, Samnan, Sharjah: Tel: +971 6 5212277 • Fax: +971 6 5662577

Contact : Karthick +971 509433012 • Syed +971 524588376

Registration Fee:Doctors - AED 250, Students - AED 150