You can use the form below to submit a request for cooperation with the Iranian Psychiatric Hospital.
Personal information
name
family name
father's name
birthday
National Code
Id
GenderMaleFemale
Marital statusMarriedSingle
Please upload your personal photo.
Contact info
Phone number
Telephone
Email address
Home address
Work address
Educational Information
Degree of educationDiplomaAssociate degreeMastersbachelorP.H.Dother
Field of Study
Date of obtaining degree
Place of obtaining degree
Graduation grade point
Military service statusFinishedIncludedNot includedExemptNone
Company name
Position
From
To
Job type
Reason for leaving work
Please specify the job(s) you are interested in
helperSecretaryInformation Technology (IT)Administrative and financialServicesFacilities and technicalPsychologyHealth informationNursingAcceptance and responsivenessTherapeutic managementPublic relationsOther
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