TCM Physician Career Form

Name (required)

Email (required)

Contact number (required)
[intl_tel* Phone]
Gender (required)
MaleFemale
Address (required)

Citizenship (required)

Physician Registration Number (required)

Physician Registration Expiry Date (required)

What services can you provide (required)
AcupunctureCuppingTui NaGeneral CheckupGeneral Checkup - PregnancyGeneral Checkup - InfertilityGeneral Checkup - ChildrenGeneral Checkup - StrokeGeneral Checkup - Arthritis
Please state your fee for the services you provide (required) (Do check out our Price list as a reference to charge for your service)

Which areas of Singapore can you provide your services (Note* Please Click here to check the allocated location of Service)
CentralEast/South EastNorth EastNorth SouthNorth/North WestWest
How are you providing your services?
Customer preferred locationYour homeYour Clinic
Please provide your clinic address, if you selected "Your Clinic"

Other Information:

Education Certificate (required) (filetypes:PDF|jpg|jpeg|doc|docx)

Physician registration Card Softcopy (required) (filetypes:PDF|jpg|jpeg|doc|docx)

Other TCM treatment Experience (filetypes:PDF|jpg|jpeg|doc|docx)

Profile image (required) (filetypes:PDF|jpg|jpeg|doc|docx)
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