National Performers Lists Application Form Page 15

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details and a supporting
explanation
Please provide the following information relating to assessments or appraisals as
appropriate.
37. Please provide details of any appraisals undertaken starting with the most recent
Appraisal
Appraisal year
Date of
Organisation
Name of your
number
appraisal or
that
appraiser
grounds of
undertook the
exemption
appraisal
1
2
3
4
5
37(a). If you have not
undertaken appraisal, please
provide the reasons for this:
38. Please provide details of
your compliance with the core
CPD/CET requirements of your
regulatory body:
38(a) Please provide (for those
on the GMC register only):
your date of revalidation;
= the name of your Responsible
Officer and Designated body
= if you revalidation is on hold
or has been deferred, the
reason for this
NPL1 Application Form v2 final
Page 15 of 32

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