JB
Muslim Medical Professionals Network
JBHSN Membership Application

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Personal & Professional Information

Fields marked * are required
Personal Information

This will be your portal login username.

Work Location in Tanzania
Select your current work region and council. This information is used to connect you with nearby JBHSN members.

Enter the name of your hospital, health centre, dispensary, or clinic. Used to find nearby colleagues.

Account Security

Minimum 8 characters.

Passport Photo
👤

JPG, PNG or WEBP. Maximum 2MB. This photo will appear on your member ID card. You can also upload later from your profile.

Declarations

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