PHCRII Health Researcher Registry

Basic data

Username

You can log in to the system with this name.
The name must be unique in the system. If your desired name is already taken, try combinations such as Andi78 or SteveT.

Password

Password must have at least 8 characters including numbers, letters and special characters.
The strength of your selected password will be displayed in color using a bar. The minimum required strength is indicated by the arrow in the bar.

Confirm password

Title

First name

Enter first name exactly as it appears on your QID.

Middle name

Enter middle name exactly as it appears on your QID.

Surname

Enter surname exactly as it appears on your QID.

PHCC Corporation Number

Please enter your PHCC corporation number

Mobile

Provide your Qatari mobile phone number without the country code.

E-mail

Provide your official organisational email address

Qualifications & Experience

Highest Qualification

Please select your highest completed qualification

Specialty Training Completed ?

If you are a doctor or dentist please indicate if have completed specialty training from Arab Board of Health Specializations, Royal Colleges (UK/Ireland) etc.

If you are a pharmacist, please indicate if you have completed training to practice as clinical pharmacist etc.

Hold a valid MoPH DHP license to practice in Qatar ?

If you are a doctor, dentist or pharmacist, please indicate if you hold a MoPH Department of Healthcare Professions (DHP)

MoPH DHP License Number

If you are a doctor, dentist or pharmacist with valid MoPH DHP license, please provide number

MoPH DHP License Expiry Date

If you are a doctor, dentist or pharmacist with valid MoPH DHP license, please provide its expiry date

Have 5 or more research publications in indexed journals

Yes

No

Confirm if you have authored 5 or more publications in peer-reviewed scientific journal

Additional information

Please upload the supporting documents using the link provided below

Upload supporting documents via https://forms.office.com/r/u8vMp4EHuj. Registration application submitted without supporting documents will not be processed.

Data Protection Consent

I have read the information provided by the organization. As far as the personal data provided by me are not necessary data for the fulfillment of the contract, I declare my consent to the processing of these data. My data will be stored exclusively for the purposes of the organization and treated confidentially.

Health Research Registration Information

Health Research Category

Select the Health Research registration category or categories applicable to your application

Health Researcher Designation

Specify the Health Researcher designation(s) for which you are submitting an application

Confirm value

Authentication code

The authentication code is part of a captcha. A captcha is used for spam detection. The picture is used to detect if a user or a script (or spambot) filled the form.
Please fill the result of the authentication code into the form.

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