Registration Form - FCPS Intensive Course

Account Title: PAKISTAN BLOOD AND MARROW TRANSPLANT
PKR Account No: 20016016099
IBAN No: PK93SONE0047120016016099
Bank : Soneri Bank Ltd (0471)

25th, Nov 2025

For PBMT members PKR 3,000

For Non PBMT members PKR 15,000

OPEN

AFBMTC, Rawalpindi

Membership

Membership No (Example: 004-RM-2020)

Full Name

Gender

CNIC (Example: 3740500000001)

PMDC Number

Contact Number (Example: 03225181302)

City

RTMC No

Year of Training

Present Institution

Name of Supervisor

Payment Methods:

Slip No:
Attached Payment Slip (jpg):
Deposit Date:

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