MRCS Course Registation
First Name (*)
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Last Name (*)
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Sex (*)
Male
Female
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Email Address (*)
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Telephone No. (*)
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Mobile No.
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Address (*)
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Grade (*)
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Place of Work (*)
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Sub-specialty interests
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Have you attended any previous MRCS courses?
Yes
No
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If yes please give its name and date:
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When and where are you planning to sit the exam? (*)
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Where did you hear about this course?
Google
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Other search engine
Word of mouth
Consultant / Supervisor
Other
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Please select registration option
£385.00 ASiT members (input ASiT membership number below)
£425.00 To include ASiT membership - first year free
£430.00 no ASiT membership
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Please input your ASiT membership number here if applicable:
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Following registration please send your cheque made payable to: “MRCS Course” to Clinical Courses PO Box 129 Lymm WA13 9XH