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About You

Title
DrMsMrMrsMiss

First Name* (required)

Last Name* (required)

Your Email*

Mobile Number*

UK Phone (If available)

Whatsapp Contact Number

Country of Residence*
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Country of Origin*
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Your Qualifications

Passed IELTS / OET with required score*
Please selectYesNo

Full licence to practice with the GMC*
Please selectYesNo

GMC registration number

Postgraduate Qualification(s)*
MRCPFRCPMRCEMFRCEMFRCAMRCSIFRCSIFCAMRCPCHEDAICEDICMRCSFRCSFRCRMRCOGFRCOGPLABFRCPathMRCPsychNone
Select all that apply

PGQ Status*
None selectedPart 1Part 2Full

Expected date of PGQ completion

GMC specialist registration (CCT/CESR)*
Please selectYesNoIn Progress

Valid life support courses*
Please selectYesNo

Date of Expiry

Your Experience

Speciality*
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Current Grade*
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Years of experience at current grade*
Please select0-1 year1-2 years2-5 years5-10 years10-15 years15-20 years20+ years

Years of NHS experience.
Please select0-1 year1-2 years2-5 years5-10 years10-15 years15-20 years20+ years
If you have never worked in the NHS system, please leave blank

Your Salary

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Current Salary (numbers only)

Salary Expectation (GBP numbers only)

Your Notice Period

Current Notice Period*
Please selectNone4 weeks6 weeks8 weeks12 weeks6 monthsOther

Availability to start.

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Working with Remedium

Recruitment Consultant

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How did you hear about Remedium?
None selectedConferences and EventsDirect ContactHeadhuntMedical AssociationsPartnershipsReferralSocial MediaWebsiteWhatsApp Group

Event/conference name
None selectedACEMAGMBMAEMCONGMCMyanmar Info SessionNigeria Info SessionRCPCHSingapore Info SessionWACEM

Referee Email

Are you working with any other agencies*
Please selectYesNo

If yes, please list agency/agencies

Have you applied for any jobs with the NHS directly?*
Please selectYesNo

Please state which NHS trusts/hospitals you have applied to

Anything else you would like us to know about your career experience and/or aspirations

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