Application Form For Registration In The Register Of Medical Practitioners Form - 2015 Page 13

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12. CHECKLIST S
Copies of Documents must be submitted in the Following format
All copy documents must be notarised by a Notary Public or attested by a Justice of the
Peace/ Commissioner for Oaths/ Member of An Garda Siochána (documents signed by a
Police Officer from another country are not acceptable). The Medical Council will not accept
notarised/attested copy documents from anyone else.
They should confirm that the copy is a true copy of the original document, give their full
name and sign, date and officially stamp each copy document.
All documents which are not in the English language must be attached to an
English language translation issued and officially stamped by an official
translator. The name and address of the translator used must be included, to allow for
verification.
PLEASE TICK THE APPROPRIATE BOXES TO INDICATE WHICH DOCUMENTS ARE ENCLOSED
Documents for Category 1 Applicants
1(a)
Completed Application Form. [All questions must be answered and the
Declaration must be signed.]
1(b)
Notarised/attested copy of current passport.
1(c)
An original Certificate of Current Professional Status/Good Standing, dated
within the last 3 months, to be sent directly to the Medical Council from all
overseas registration authorities with whom you are or have been registered
within the past five years. [NOTE: If the name on your degree differs to the
name on your Certificate, we also require the authority to confirm that you are
one and the same person.]
Fees
Application Fee (Level 1 assessment) - This payment must be provided
with your application. Please note that it is non-refundable
Documents for Category 2 and 3 Applicants
2(a)
Completed Application Form. [All questions must be answered and the
Declaration must be signed.]
2(b)
Notarised/attested copy of current passport. (Only pages with your details and
the expiry date of passport should be provided)
2(c)
Notarised/attested copy of basic medical qualification (carton degree) which was s
received on the day of conferral, clearly displaying the full date.
English translation (If applicable)
2(d)
Notarised/attested copy Certificate confirming that your qualifications and
training are in accordance with Article 24 and Annex V, V.1, 5.1.1. of Directive
2005/36/EC (Conformity letter). [Required from applicants who began their
basic medical training in an EU member state before it joined the EU -
please see Appendix C of the Guide to Registration for the dates each state
joined the EU i.e. “Reference Date” ]
English translation (if applicable)
2(e)
Notarised/attested copy Certificate to accompany qualification issued under
Directive 2005/36/EC (as amended) including an English translation (if
applicable). Please Refer to Appendix C of the Guide to Registration and search
for the country where you qualified. If the field under the above heading is blank
the Certificate is not required.
If a document is listed then that document is
required.
2(f)
An original Certificate of Current Professional Status/Good Standing, dated within
the last 3 months, to be sent directly to the Medical Council from all overseas
registration authorities with whom you are or have been registered within the
past five years. [NOTE: If the name on your degree differs to the name on your
Certificate, we also require the authority to confirm that you are one and the
same person.]
Fees
Application Fee (Level 1 assessment) - This payment must be
€410
provided with your application. Please note that it is non-refundable
VERSION 8.0 - T
2015
HIS FORM WAS LAST UPDATED IN AUGUST
Page 13 of 16
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PLEASE ENSURE YOU COMPLETE THE MOST UP
TO
DATE FORM AVAILABLE ON OUR WEBSITE

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