Saateni, Zanzibar-Tanzania
ZANZIBAR HEALTHCARE
AND EDUCATION
SUPPORT ORGANIZATION
(ZAHESO)
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Saateni, Zanzibar-Tanzania
ZANZIBAR HEALTHCARE AND EDUCATION SUPPORT ORGANIZATION (ZAHESO)
Menu
HOME
ABOUT US
OUR SERVICES
HEALTHCARE
EDUCATION
CONTACT US
GALLERY
BLOG
Health Enquiry Form
Requirements
Full Name (as per passport)
*
Date of Birth
Gender
Select
Male
Female
Nationality
*
Passport Number
*
Email Address
*
Phone Number (with country code)
Educational Background
Select
Current Level of Study (e.g., Undergraduate, Graduate, Qualified Professional)
Institution/University Name
Field of Study / Specialty
Year of Study / Graduation Year
Type of Placement
Select
Elective
Internship
Volunteer
Select Preferred Program / Discipline
General Medicine
Nursing
Biomedical Science
Physiotherapy
Midwifery
Radiology
Surgical Practice
Obstetrics & Gynecology
Neurosurgery
ENT (Ear, Nose & Throat)
Gastroenterology
Pediatric Surgery
Urology
Anesthetics
Pediatric Surgery
Occupational Therapy
Mental Health & Psychology
Public Health Programs
Supporting Documents
CV/Resume , University Recommendation Letter or Proof of Enrollment, Copy of Passport, Recent Passport-Size Photo, Proof of Medical/Travel Insurance (optional at this stage)
Choose File
No file chosen
Delete uploaded file
Placement Preferences
0 / 180
Travel & Logistics
0 / 180
Accommodation
0 / 180
Goals & Expectations
0 / 180
Payment & Agreement
0 / 180
Optional Sections
0 / 180
Declaration & Signature
I declare that the information given above is true and complete
Submit
