Data form on CME/CPD Credits

Data Form on CME/CPD Credits

(The Online Form appears here for display purposes only. It will be activated in January 2011 for submitting CME/CPD credit totals for CME Year 2010.)

Please enter your name exactly as you submitted for CME registration.

1. Personal Information
First Name:	Middle Name:	Surname:
**	**	**

CME/CPD Registration No.:

Email address: **	Fax No.:
** Information is essential in these sections.

2. CME Credits
Total	2005	2006	2007	2008	2009	2010
Category 1
Category 2

Enter credit totals gained from January to December 2010 in the respective cages.

If you wish to update the credit totals sent for the previous years, enter the revised totals in the relevant cages.

The credit point maximum accepted in Category 2 within the five-year cycle is 100.

Please note that you should maintain documentation of your participation in CME/CPD activities.

If you wish to re-enter data, press

Reset

I certify that the above data is based on a true record of the CME/CPD credits gained by me.
Press

Submit

A message will appear indicating the data you submitted. Please print this data and keep the printout for future reference.

Within one week of the CME Center receiving your data, you will receive an email message indicating the data submitted. If you do not hear from the CME Center Office, contact us at email: <cmecenter@kims.org.kw> or Fax: 22467140.

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