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About You

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Title
First Name*
Last Name*
Your Email*
Mobile Number*

Location

Where you are and where you're from.

Where are you currently located? UK International
Country of Residence*
Country of Origin

Your Expertise

Please tell us about your areas of expertise and specialty.

Department Accident & EmergencyMedicinePsychiatryTheatresPathologyWomen & ChildrenRadiology
Specialties*
Current Grade*
Full licence to practice with the GMC* No
GMC registration number

Your Qualifications

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Postgraduate Qualification(s)*
PGQ Status
Passed IELTS / OET with required score No or not applicable
GMC specialist registration (CCT/CESR)

Working with Remedium

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