New Hospital Registration Back

Arabic Name:
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Arabic Short Name:
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English Name:
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English Short Name:
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Hospital Sector:
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MOI Number:
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CR Number:
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CR Gregorian Issue Date:
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Maximum Date is up to today date.
CR Hijri Issue Date:
Maximum Date is up to today date.
Region:
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City:
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Managerial Regions :
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Address:
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Email:
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Phone Number:
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Format: 01xxxxxxxx
Fax Number:
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Format: 01xxxxxxxx
Web site:
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Invalid Web Service Format.
SMS Alert Number:
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Format: 9665XXXXXXXX
Email Alert:
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National Address
Id Type:
 
Id: Search
 
 
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Admin User Information:
Username:
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English Name:
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Arabic Name:
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National ID Number:
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Phone Number:
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Format: 01xxxxxxxx
Mobile Number:
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Format: 9665XXXXXXXX
Job Title:
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Email:
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Contact
Name:
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Mobile:
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Format: 9665XXXXXXXX
Phone:
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Format: 01xxxxxxxx
Contact Job Title:
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Contacts Manager
Name:
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Mobile:
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Format: 9665XXXXXXXX
Phone:
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Format: 01xxxxxxxx
Email:
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General Manager
Name:
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Mobile:
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Format: 9665XXXXXXXX
Phone:
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Format: 01xxxxxxxx
Hospital Location
Longitude :
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Latitude :
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URL
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Documents
Please fill Efada Registration Form then upload the following documents: Ministry of Health Permit for Medical Institute, Chamber of Commerce Certificate, and Efada Registration Form (Filled), Keep in mind that they must be certified by Chamber of Commerce and stamped with official company stamps. In addition, please add Ministry of Health Permit for Expatriate Workers certified by Chamber of Commerce and stamped with official company stamps if you want to be able to do expatriate certificates.
Attachments:
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Please Upload all required documents
Please send the certified and stamped copies of all documents you uploaded to the following address:
Elm for Information Security - Electronic Services – Indirect Sales
8191 Takhassusi Road Olaya
Riyadh 12333 – 3038
Saudi Arabia


 
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