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Register Account

    Choose Member Level*

    Account Information

    Account ID*
    Password*
    User Name*
    Email Address*
    Name
    First Name*Middle NameLast Name*
    Gender*
    Ocupation*
    Licence number*
    Doctor, Nurse or Pharmacist etc...
    Speciality*
    Country*
    Name of Country

    Kenya Uganda, Tanzania etc

    County*
    work place
    Sub-county*
    work place
    Occupational place*
    Name of hospital or company etc
    Phone number*
    Person who introduces
    Full name