National Performers Lists Application Form Page 13

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Post (Please indicate
Name of Organisation
Specialty
Role undertaken
Start and
Capacity
whether the post was
finish date
e.g. full
in primary or secondary
time, part
care in the NHS, private
time
or both
Please use section 6: Additional information or continue on a separate sheet(s) as appropriate and ensure that any gaps between
appointments, any dismissal from posts and any other additional supporting particulars are supplied.
NPL1 Application Form v2 final
Page 13 of 32

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