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Application form for foreign doctors

     

     

    Name

     

     

     

    Sex

     

     

     

    Recent photo

    Date of birth

     

    Nationality (Prefecture)

     

    ID name and number

    Graduation college or university

     

     

     

    Degree

    major

     

    Section or office planned to hire

     

    Applied practice time   

     

    Contact address

     

     

     

    Contact telephone

     

    Name and address of inviting or employing unit

     

     

     

     

    Work experience in professional or technical field

     

     

     

     

     

    Reasons for medical institutions to invite or employ foreign doctor

     

     

     

     

     

     

     

     

    Opinion of inviting or employing unit

     

    (Signature, seal)

    Date