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Staff Registration
Join the CFU Medical Centre team - Fill out the form below to register as a new staff member
Personal Information
First Name
*
Middle Name
Last Name
*
Date of Birth
*
Gender
*
Select Gender
Male
Female
Other
Phone Number
*
Contact Information
Email Address
*
Home Address
*
Professional Information
Position/Job Title
*
Department
*
Select Department
Emergency
General Medicine
Pediatrics
Maternity
Laboratory
Pharmacy
Dental Services
Administration
Other
Employment Type
*
Select Type
Full Time
Part Time
Contract
Intern
Highest Qualification
Professional License Number
Start Date
*
Monthly Salary (UGX)
Emergency Contact
Contact Name
*
Contact Phone
*
Relationship
*
Select Relationship
Parent
Spouse
Sibling
Friend
Other
Account Security
Password
*
Password must be at least 8 characters long
Confirm Password
*
Re-enter the same password
Additional Notes
Additional Information
I agree to the
Terms and Conditions
and
Privacy Policy
of CFU Medical Centre
*
Register Staff Member
Back to Staff Portal