GHS Enrollment – MAQ Group Of Companies

Enrollment Form for Global Health System

Please register yourself using the form below.

If you want to register your Family Members as well then please re-fill the below form after submitting yours and select appropriate Relationship.

Relationship

Full Name

Date of Birth

Gender

Male Female

Employer / Company / Organization

Applicant CNIC Number (enter without dashes or spaces)

Dependant CNIC Number (enter without dashes or spaces)

Contact Number