Medical school from which you have graduated, followed by your graduation year?
If you are a specialist, please specify your distinction
If you have worked in a government or private foundation, please list them chronologically starting with your first place of employment
List your history of examination experience chronologically including location of examination offices
Did you own or rent your examination space?
List your real estate and personal assets below:
List your private vehicle information:
How many people work within your examination space?
On average, how many paying patients do you examine per day?
What is your charge for examination?
On average how much do you earn from other operations?
How much is your salary?
Guarantor Information:
List real estate and personal assets below:
List their private vehicle information:
*the documents that you have submitted will be stored in our records.Due to our company procedures, all In order for your credit application to be evaluated, , I confirm and state that the information I have given above is both correct and complete.