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Emara's Toxicological award
Registration Form




Mach 21, 2012

____________________________________
Name (Last, First, MI)
____________________________________
Organization
____________________________________
Address
_________________________________________________________________________
____________________
Born in
Email




For more information about the conference, please contact
Ashraf M. Emara, M.D., Professor
Forensic Medicine and clinical Toxicology department
Faculty of medicine
Tanta University
Mostafa7005605@yahoo.com

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Registration form of Emara's Toxicological award

  • 1. Emara's Toxicological award Registration Form Mach 21, 2012 ____________________________________ Name (Last, First, MI) ____________________________________ Organization ____________________________________ Address _________________________________________________________________________ ____________________ Born in Email For more information about the conference, please contact Ashraf M. Emara, M.D., Professor Forensic Medicine and clinical Toxicology department Faculty of medicine Tanta University Mostafa7005605@yahoo.com