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Application Form - Bahrain - Institute of Leadership

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APPLICATION SUBMISSION DETAILS:<br />

Please note, you may be additionally requested to submit references<br />

<strong>Institute</strong> <strong>of</strong> <strong>Leadership</strong> & Healthcare Management,<br />

Royal College <strong>of</strong> Surgeons in Ireland - <strong>Bahrain</strong>,<br />

PO Box 15503,<br />

Busaiteen,<br />

KINGDOM OF BAHRAIN<br />

Tel:<br />

Fax:<br />

Website:<br />

+ 973 17 351 450 Ext 2490<br />

+ 973 17 583 600<br />

www.rcsileadership.org<br />

Please read the following before signing your <strong>Application</strong> <strong>Form</strong>:<br />

I certify that the information on this application form is complete and accurate.<br />

Signature:<br />

Date:<br />

Please tick this box if you DO NOT wish to receive marketing information from the RCSI<br />

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