Personal Information |
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First Name: |
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Middle Initial: |
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Last Name: |
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Date of Birth: |
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Nationality: |
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Place of Birth: |
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Age: |
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Sex: |
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Marital Status: |
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Telephone (home): |
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Telephone (work): |
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Postal Address (work): |
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Postal Address (home): |
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Name, Postal Address
& Telephone number of a local contact person: |
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Medical Degree, College/University Name, Date Degree Obtained: |
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List of Additional and/or Higher Qualifications with dates: |
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State type of practice you which to pursue: |
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Professional References: Name 3 and state full postal address: |
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Have any proceedings ever been initiated against you in a court of law by a medical licensing authority? (if yes provide details) |
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Required Documents |
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| Applicants are advised to submit the following items once registration form is submitted. Be sure to include your name and contact information when submitting required documents: Click here to submit required documents |
* You are requested to upload an unmounted photograph of yourself (Any photo of recent date which provides a good likeness is sufficient)
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* Original Document confirming success in final M.B.B.S., or MD examinations from an accredited Medical School, or Notarized copy of Medical Qualifications
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(Please note any Graduate of Universities considered to be “Off Shore” Medical Schools are advised that copies of pass certificate in USLME 1& 2, The CAM-C exam, The MCCEE or the PLAB is required for registration.) |
* Detailed Curriculum Vitae (including Full Biographical Data & Medical Education)
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* Document certifying citizenship status (e.g. copy of relevant parts of the passport)
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* Original Document or Notarized copy of E.C.F.M.G. (or equivalent) Certificate of graduate of an Offshore Medical School
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* Documentation showing that the applicant is considered for Internship Programme in the Bahamas |
N.B. If approved, your Registration under Section 13(b) of the Medical Act does not permit you to practice medicine outside the Government facilities.
Note also that Government Employed Interns are not required to pay a registration fee.
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