NSW FELLOWSHIP COURSE TIMETABLE REGISTRATION
Please fill in all the details below to be included in the email list for the fellowship course timetable. Note you will still need to register with the hospital / site contact if you like to attend the practice
NAME (FIRST NAME, SURNAME) *
Your answer
EMAIL ADDRESS *
Please check that you have entered your email correctly or we will not be able to include you in the list.
Your answer
CONTACT PHONE *
Your answer
HOSPITAL AT WHICH YOU ARE BASED *
Your answer
DEMT NAME *
Your answer
MONTH/YEAR YOU INTEND TO SIT FELLOWSHIP WRITTEN *
if WRITTEN EXAM successfully completed, then enter completion date here.
Your answer
MONTH/YEAR YOU INTEND TO SIT FELLOWSHIP OSCE *
Your answer
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