Data form on CME/CPD Credits

Data Form on CME/CPD Credits

(This Data Form will be activated in January every year. It appears here only for display at present.)

Please enter your name exactly as you submitted for CME registration.

1. Personal Information
First Name:	Middle Name:	Surname:
**	**	**

CME/CPD Registration No.:

Email address: **	Fax No.:
** Information is essential in these sections.

2. CME Credit Points
Total	2001/02	2003	2004	2005	2006
Category 1
Category 2

Enter credit totals gained from January to December in the respective cages.
If you wish to update the credit totals sent for previous years, enter the revised totals in the relevant cages (Credit points gained from September 2000 to December 2002 are accepted under 2001/02).
The credit point maximum accepted in Category 2 within the five-year cycle is 100.

Please note that you should maintain documentation of your participation in CME/CPD activities.

This Data Form will be activated in January every year.

If you wish to re-enter data, press

Reset

I certify that the above data is based on a true record of the CME/CPD credits gained by me.
Press

Submit

A message will appear indicating the data you submitted. Please print this data and keep the printout for future reference.

Within three days of the CME Center receiving your data, you will receive an email message indicating the data submitted. If you do not hear from the CME Center Office, contact us at Fax: 2467140 or email: <cmecenter@kims.org.kw>.

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