Doctor Registration

Declaration 1: I have accepted the Christian faith as taught by Christ and His Apostles as recorded in the Bible.

YesNo

Declaration 2: I am registered with the Medical and Dental Council of Nigeria or a Nigerian registered with the equivalent body in the country where I am domiciled, or studying to qualify for the license

YesNo

Declaration 3: I confess Jesus Christ as my Saviour and Lord and I am genuinely interested in caring for the whole man, spirit, soul and body

YesNo

Folio Number

Username

First Name

Last Name

E-mail Address

Mobile Number

Password

Gender

MaleFemale

Country

Preferred Student Chapter

When did your gain admission into school?

When did you qualify as a doctor?

Where do you work?

What best describes the organization where you work?

Only fill in if you are not human