Your information *为必填信息 您的学分会记录到以下信息上,邮箱和手机号保存之后将不能编辑,请慎重填写
*First name: *Last name:
注意:此处姓名需与您的NCCAOM证书上的姓名一致
*Email:
*Cell phone: US(+1)
Academic degree(optional):
Education(optional):
Informaiton of your clinic *为必填信息
*Clinic name:
*Telephone: US(+1)
*Clinic address:
*City:
*Postal code:
*State:
*Country:
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Certificate & License ( NCCAOM编号 和 加州针灸资格编号 两项至少填一项, 若申请学分需必填NCCAOM )
NCCAOM Certificate Number:
CA Certificate Number:
License Number:
保存信息默认您已阅读并同意《针灸师认证注册协议》
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