How to Join (Sign-in Form) Admission questionnaire: DOCX, PDF Username E-mail Password Lastname First name Permit / license number Birth name Name used in healthcare Name on the identity card Date of birth Place of birth Gender Woman Man Personal number Address Mailing address Phone number Year of graduation Diploma type general medical dental non-medical Diploma issuer Educational institution from Hungary Diploma obtained abroad Nostrification of diploma Diploma from Serbia I have a specialist examination / medical specialisation Yes No Name of medical specialisation Year of specialist examination / medical specialisation Language exam Yes No Knowledge of foreign languages without an exam Yes No I have other diploma/degree Yes No Name of workplace Address of workplace Position, job title Department Working in retirement Yes No Billing (company)name Billing address I have read and accept the privacy policy
