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Password

Personal profile

Email address

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First name

Surname

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Additional details

Middle name/initial

Mobile number

Current location/region

Title

Title (Others)

Specialization

PRC license number

PRC expiry (MM/DD/YY)

How did you hear about this website?

I agree to be part of UMED's subscriber base and receive email and/or SMS announcements including but not limited to webinar invites, course offerings, conference proceedings, and other CPD programs. None of this information will be shared to any third party without my prior consent.

I consent to share my contact details to Unilab marketing divisions.

Data privacy statement

UMED respects your privacy and will keep all personal and sensitive information provided confidential. By accomplishing this form, you consent to the collection of the following information: Name, PRC Number, Contact Details (to be used as proof of your attendance to the webinar and will be submitted to PRC, PMA, and PAFP for their record keeping of CPD units gained); Email address (to receive the post-test and evaluation links as well as the digital certificate); Specialization, Title (to properly match our courses, webinars and offerings according to your profession and specialization); Location (to profile our attendees based on their geographic location and offer programs specific to their area); Others (for UMED's evaluation of the effectiveness of its promotional channels in reaching out to new participants). This information will be housed in a secure database that only authorized UMED personnel can access. At any point in time, you have the right to access, edit and remove this information by e-mailing us at umedonline.portal@gmail.com. None of this information will be shared to any third party without your prior consent.

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