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Registration form Registration form Document Transcript

  • Emaras Toxicological awardRegistration FormJanuary 21, 2012____________________________________Name (Last, First, MI)____________________________________Organization____________________________________Address_____________________________________________________________________________________________Born inEmailFor more information about the award, please contactAshraf M. Emara, M.D., ProfessorForensic Medicine and clinical Toxicology departmentFaculty of medicineTanta UniversityMostafa7005605@yahoo.com