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First name *
Last name
Email address *
Phone *
Alternative phone
Address *
Last employer *
Total years of experience *
Do you have the following skills? *
Advanced proficiency in MS Word
Skilled in structuring patient medical reports
Fluent Communication
Attention to detail
Are you able to work from home?
Select One Option
Yes
No
If so, do you have the following available?
Headset
Laptop / PC
UPS / Generator
High Speed Internet
Webcam
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