First Name Middle Name Surname Email Address Phone Number / WhatsApp number PIN Qualification / Certificate / Diploma / Degree Profession – Select Your ProfessionNUTRITIONIST(NUT) SONOGRAPHER(SON) DIAGNOSTIC RADIOGRAPHER(DRA) DENTAL SURGERY TECHNICIAN(DST) PROSTHETIC & ORTHOTICS (TECHNICAL OFFICER)(POT) COMMUNITY MENTAL HEALTH OFFICER(CMO) COMMUNITY MENTAL HEALTH (TECHNICAL OFFICER)(CMH) DISEASE CONTROL (TECHNICAL OFFICER) (DSC) HEALTH INFORMATION OFFICER(HIO) DENTAL TECHNICIAN(DDT) DISEASE CONTROL OFFICER(DCO) ENVIRONMENTAL HEALTH OFFICER(EHO) ENVIRONMENTAL HEALTH TECHNICAL OFFICER(EHT) HEALTH INFORMATION (TECHNICAL OFFICER)(HIT) HEALTH PROMOTION (TECHNICAL OFFICER)(HPT) NUTRITION (TECHNICAL OFFICER)(NTD) MEDICAL LABORATORY TECHNICIAN(MLT) MEDICAL LABORATORY SCIENTIST(MLS) PHYSIOTHERAPIST(PHT) OCCUPATIONAL THERAPIST (OCP) DIETICIAN(DTT) OPTOMETRIST (DOCTOR)(OPT) MEDICAL PHYSICIST(MPT) HEALTH PROMOTION OFFICER(HPO) MEDICAL LABORATORY ASSISTANT(MLA) PHYSIOTHERAPY TECHNICIAN(PTT) PHYSIOTHERAPY ASSISTANT(PTA) ENVIRONMENTAL HEALTH ASSISTANT(EHA) OPTICAL DISPENSING TECHNICIAN(ODT) RADIOLOGICAL TECHNICIAN(RLTN) AUDIOLOGIST(AUD) DISEASE CONTROL ASSISTANT(DICE) MEDICAL RECORDS ASSISTANT(MRA) BIOSTATISTICS TECHNICIAN(BTT) BIO STATISTICIAN (BIS) HEALTH PROMOTION TECHNICAL OFFICER(HPA) NUCLEAR MEDICINE TECHNICIAN(NMT) NUCLEAR MEDICINE TECHNOLOGIST(NMT) THERAPY RADIOGRAPHER(TRO) ULTRASOUND TECHNICIAN(UST) NUTRITION ASSISTANT(NUA) OCCUPATIONAL THERAPY ASSISTANT(OTA) OCCUPATIONAL THERAPY TECHNICIAN(OTT) OPTICAL DISPENSING ASSISTANT(OOA) PROSTHETICS & ORTHOTICS TECHNOLOGIST(POO) PROSTHETICS & ORTHOTICS ASSISTANT(POA) SPEECH & LANGUAGE THERAPIST(SLT) DOCTOR OF MEDICAL LABORATORY SCIENCE(MLSD) BSC. RESPIRATORY THERAPIST(RTP) BIOSTATISTICS OFFICER(BBT) BIO STATISTICIAN (TECHNICAL OFFICER)(BIST) BIOSTATISTICIAN (ASSISTANT)(BISS) DENTAL LABORATORY SCIENTIST(DLS) DIETETIC TECHNICIAN(DTD) RADIOLOGICAL ASSISTANT(RDA) OPTICAL DISPENSING ASSISTANT(ODA) DISEASE CONTROL(FIELD TECHNICIAN)(DFT) DENTAL SURGERY ASSISTANT(DSA) DENTAL HYGIENE TECHNICIAN(DHT) TRAUMA AND ORTHOPEDIC TECHNICIAN(TOT) DIETETIC ASSISTANT(DITA) DENTAL HYGIENIST (DHO) OCCUPATIONAL HEALTH AND SAFETY TECHNICAL OFFICER(OPHS) Register