Register — JBHSN Member Portal

Muslim Medical Professionals Network

JBHSN Membership Application

Personal & Professional Information

Fields marked * are required

Personal Information

Full Name *

Email Address *

This will be your portal login username.

Phone Number *

Sex *

Blood Group

Profession / Specialisation

University / Training Institution

Year of Graduation

Work Setting *

Select the environment where you currently work.

🏥 Health Facility

🛡️ Health Insurance

💊 Pharmacy / Drug Store

🩺 Self Employed / Private

🌍 NGO / CSO

🏛️ Government / Ministry

🎓 University / Research

💼 Other

Work Location

Workplace Name

Your Job Title

Region *

Council / District

Department / Unit (optional)

Account Security

Password *

Minimum 8 characters.

Confirm Password *

Passport Photo

Passport / ID Photo (optional)

👤

JPG, PNG or WEBP · Max 2 MB · You can also upload later from your profile.

Declarations

I consent to be added to the official JBHSN WhatsApp group for professional communications and network updates.

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