📝 Doctor Registration Form
Basic Information
Full Name
Email Address
Mobile (WhatsApp)
Password
Professional Details
PMDC Registration Number
Specialty (Select all that apply)
Gastroenterology
Psychiatry
Internal Medicine
General Practitioner
Other
Current Designation
Institute / Hospital
City & Province
Experience & Interests
Years of Clinical Practice
Less than 5 years
5–10 years
More than 10 years
Primary Area of Interest in CBA / DGBI
IBS
Functional Dyspepsia
Gut-Brain Axis
Mental Health in GI Disorders
Other
Preferred Mode of Learning
Live Webinars
Recorded Sessions
Both
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