Application Form

BIMAC Board Certification Programme signifies how specialists are aiming higher to advance their knowledge, judgment, and skills while remaining committed to professionalism, practice enhancement, and better patient care.

Qualification/Accreditation is

Applying for

Exam based Individual Professional Board Certificate

Experience based Individual Professional Board Certificate

Master Trainer Board Certificate

Training Provider Board Certificate (Academic or Institutional)

Medical Aesthetic Center Qualification

Educational Training Center Qualification

Name of applicant

Phone number

Country

City

Post code

Street no.

Date of Birth (day/month/year)

Upload photo ID

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Upload Certificate of qualification

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Upload copy of Issued Medical Aesthetic Practice License Proof if there is any

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Declaration

I hereby declare that the given information in this application is correct and true to the best of my knowledge and belief. In case of any of the datas above are incorrect or false I shall be responsible for its consequences.

Application Form

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