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

Local Currency
GBPEURUSDINRAEDSARNGN

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

If you have already been in contact with a member of our recruitment team (if not, leave blank)

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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