Name *

Email *

Please use your personal email (not the university email)

Mobile *

Address *

Faculty *

Educational Year *

Facebook Account Link *

https://www.facebook.com/John.Doe

Standing Committee / Supporting Division of Interest *

Have you watched the orientation video above start to finish? *

I understand that I am required to pay the registration fees (30 EGP) within the next week, otherwise this my registration will be invalid. *

You can pay the registration fees at MSSA Office in cash. Address: Mansoura Faculty of Medicine, M. Hafez Hall, Back Door, 2nd Floor.