Application Form For Registration In The Register Of Medical Practitioners Form - 2015 Page 14
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16Documents for Category 4 Applicants
3(a)
Completed Application Form. [All questions must be answered and the
Declaration must be signed.]
3(b)
Notarised/attested copy of current passport. (Only pages with your details and
the expiry date of passport should be provided)
3(c)
An EPIC Report verifying my basic medical qualification (carton degree) is
being sent directly to the Medical Council through EPIC. This credential was
received on the day of conferral, clearly displaying the full date.
An English translation (If applicable) will be included with the EPIC Report.
3(d)
An EPIC Report verifying my Internship Certificate or Certificate of Experience
or equivalent is being sent directly to the Medical Council through EPIC.
[In the case of Pakistan, the document must be from the Pakistan Medical &
Dental Council, which certifies internship experience]
An English translation (If applicable) will be included with the EPIC Report.
If seeking an exemption from the PRES on the basis of an equivalent
internship, please refer to the Council’s website for a list of overseas
internships which are currently recognised for that purpose.
3(e)
Documentary evidence of effective communication skills which are sufficient fo
the practice of medicine (see FAQs on website for further details).
3(f)
An original Certificate of Current Professional Status/Good Standing, dated
within the last 3 months, is being sent directly to the Medical Council from
all overseas registration authorities with whom I am 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.]
3(g)
1 x recent colour passport-size photographs signed on the back by the
Applicant.
3(h)
If seeking an exemption from the PRES on the basis of a recognised
higher qualification:
- An EPIC Report verifying my Higher Qualifications (see Appendix I of the
Guide to Registration for a list or recognised Higher Qualifications) is being
sent directly to the Medical Council through EPIC.
English translation (If applicable)
AND
- An EPIC Report verifying my internship of at least twelve months is being
sent directly to the Medical Council through EPIC. This internship was
comprised of a minimum of three months in medicine in general and three
months in surgery in general OR
- An EPIC Report verifying that I have completed a minimum of three years in a
single accredited training programme is being sent directly to the Medical
Council through EPIC. This credential is an attestation from the relevant post
graduate training body stating the name of the training programme and
duration, must be provided.
-
Fees
Application Fee (Level 1 assessment) - This payment must be
€410
provided with your application. Please note that it is non-refundable
I enclose the above documentation and fees in support of my application for registration,
pursuant to the provisions of the Medical Practitioners Act 2007 as amended.
S
:
IGNATURE
D
:
ATE
13. PAYMENT OF FEES
VERSION 8.0 - T
2015
HIS FORM WAS LAST UPDATED IN AUGUST
Page 14 of 16
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PLEASE ENSURE YOU COMPLETE THE MOST UP
TO
DATE FORM AVAILABLE ON OUR WEBSITE
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