CARDIG — Membership Intake (EHR Mode)
CARDIG JERUSALEM
Registration Portal
Registration Summary
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Membership
—
Promo Code
—
Total Fees
—
Status
Pending
Submitted
No
New Member Registration
1. Select Membership Category
Student Membership
35 NIS / year
Select Plan
Alumni Membership
70 NIS / year
Select Plan
Promo Code (Optional)
Verify
2. Payment Method
Pay Online to Bank Account
Pay to nearest payment point
Amount Due
— NIS
Bank Transfer Info:
Bank of Palestine
Account: 0754540
IBAN: PS70PALS047507545400993100000
Select Location
Choose location
Select Date
Availability:
3. Student Demographics
Full Name
Student Email (@students.alquds.edu)
WhatsApp Number
University
Al-Quds University
Others
Year of Study
1st year
2nd year
3rd year
4th year
5th year
6th Year
Student University Number
Exactly 8 digits (numeric).
Upload Personal Image
(Max 12MB)
Payment Mode Verification
Bank Transfer
Cash in hand (I have a code)
Upload Bank Receipt
(jpg/png/pdf)
Enter Receipt Code
ACC Member ID (Optional)
Not registered?
Join ACC Free
3. Alumni Demographics
Full Name
Email Address
WhatsApp Number
Graduated From
Al-Quds University
Others
Current Position
Intern
General Physician
Others
Current Hospital / Workplace
Upload Personal Image
Payment Mode Verification
Bank Transfer
Cash in hand
Upload Bank Receipt
Enter Receipt Code
Submit Application
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Your application has been submitted successfully.