Lorestan University of Medical Sciences
Thursday,2024-04-25
Home
Contact Us
About Us
Programs
Apply Now
فارسي
(جزئيات)
جزئيات
Register Person
شناسه كاربر :
*
كلمه عبور :
*
Password must be more than 3 character
ReType Password :
*
پست الكترونيكي :
*
First name (Farsi) :
*
First name (English) :
*
Last name (Farsi) :
*
Last name (English) :
*
Identity number :
Birth date :
(yyyy-mm-dd)
Birth Place (Farsi) :
Birth Place (English) :
Gender :
Man
Woman
National Id :
_NATIONAL_ID_DESC
Work place (Farsi ) :
Work place (English ) :
Home phone :
Mobile :
Security code :
*
© 2012 by Lorestan University of Medical Sciences