National Performers Lists Application Form Page 17

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SECTION 4: Communication skills
Please answer the following statements:
40. Do you have a certificate of graduation or postgraduate
Yes
No
training from a UK or Irish Republic medical or dental school
or university optometry department?
If yes, go to section 5
If you have answered no the question above, you must give a positive response to at
least one question in section 41 and one question in section 42. If you cannot provide
appropriate evidence, your application will be refused:
41a) Do you have a certificate of graduation or postgraduate
Yes
No
training within the past two years from a recognised medical
or dental school or university optometry department taught
and examined in English, or:
41(b) Do you the required language certificate for your
Yes
No
profession?
42(a) Do you have evidence of three months professional
Yes
No
employment from the past two years in a country where
English is the first language and can you supply a reference
from that employment to support that you have the English
language capabilities necessary for the work which those
included in the performers list could reasonably be expected
to perform? or:
42(b) If you have not demonstrated evidence through the
Yes
No
IELTs test or references, do you agree to undertake an oral
language test, as required by NHS England , the cost of
which must be borne by the applicant?
Countries where the first and native language is English. Please note that first and native
language is not the same as official language.
• Australia
• Bermuda
• British Virgin Islands
• Canada
NPL1 Application Form v2 final
Page 17 of 32

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