New Center Registration
Centre Type:
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Private
NGO
Hospital
Centre name:
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Authorised User's Full Name:
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Address:
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Postcode:
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City:
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Country:
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Afghanistan
Åland Islands
Albania
Algeria
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Chile
China
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Cook Islands
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Denmark
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Dominica
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Eritrea
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Ethiopia
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Faroe Islands
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French Southern Territories
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Guyana
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Iraq
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Isle of Man
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Jordan
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Korea, Republic of
Kuwait
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Lao People's Democratic Republic
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Lebanon
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Liechtenstein
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Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
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Montserrat
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Nigeria
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Northern Mariana Islands
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Panama
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Somalia
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Spain
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Sudan
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Switzerland
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Taiwan, Province of China
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Tanzania, United Republic of
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Ukraine
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Venezuela
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State:
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BRUNEI
JOHOR
KEDAH
KELANTAN
MELAKA
NEGERI SEMBILAN
PAHANG
PERAK
PERLIS
PULAU PINANG
SABAH
SARAWAK
SELANGOR
TERENGGANU
W.P KUALA LUMPUR
W.P LABUAN
W.P PUTRAJAYA
Phone:
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Email:
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OTP:
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