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Employment application form

After filling and sending the form below, our colleagues will reply to you as soon as possible they give.

marital status:
Number of children from first marriage:
Gender of child from first marriage:
The physical condition of the child from the first marriage:
Number of children from remarriage:
Gender of child from remarriage:
Physical condition of the child from remarriage:
Nationality:
Lady's age:
Mr. Age:
History of unsuccessful infertility treatment:
education:
Job:
Income:
Physical health:
History of genetic disease:
Drug and alcohol use history:
History of legal problems:
History of neurological and mental diseases:
Insurance
Additional insurance:
Support coverage:
Housing situation
Type of your request from the center:
Fields marked with an asterisk (*) are required

In the spring of 1401, with the efforts and guidance of Dr. Hossein Baharvand and her colleagues, the project of establishing the Shakiba Medical Genetics Center located in the Abu Ali Sina Organ Transplantation Hospital in Shiraz began.
Counseling
quick access
Shiraz, Sadra New City, Organ Transplant Hospital
071-33440000 - 09008000537
shakibaivf@info.ir
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Adrian Ertebat