ShahMedicose

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0345-8328494

Opposite to Railway Station Taxila

shahmedi8328@gmail.com

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REGISTER MEMBER

PROVIDE THE MEMBER PROFILE DETAILS

Basic details along with National ID or passport. Provide one of these which you use for registering in educational institutions for yourself or kids, As it could be used to connect you to your institution in future using this ID.

All fields marked with (*) are mandatory.

National Id/Passport: *

Your Full Name: *

DOB: *

Gender:

LOCATION INFORMATION

Country: *

State: *

City: *

Address:

REQUIRED FOR VERIFICATION PURPOSES

Mobile Number: *

If you are below 18 years and don't have a mobile number, then you need to enter mobile number of your parents or guardian for verification purposes in the next field (Guardian Mobile Numnber). If otherwise, if you are creating this account on behalf of your descendent, enter your mobile number in Guardian's cell number for verfication purposes and let this mobile number field be empty.

Guardian Mobile Number:

If you are below 18 years and don't have a mobile number, then you need to enter mobile number of your parents or guardian for verification purposes. If otherwise, if you are creating this account on behalf of your descendent, enter your mobile number in Guardian's cell number for verfication purposes and let other mobile number field be empty.

Guardian's Email:

Phone:

Preferred Time for Verification Call:

Please tell us what is the best time for you to receive the verification call. All times are local times as per your selected region.

CREDENTIALS FOR LOGIN

Email: *

Password: *

Confirm Password: *

Please provide a password which is hard to guess. For that include a mix of capital and small letters along with a number and a special character like $, ! etc.

PROVIDE MEDIA

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Text Content for Entry:

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ShahMedicose

Taxila, Punjab, Pakistan

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