*** This Course is FULLY SUBSCRIBED *** You may still register as a Reserve, should a position become available.
Applications open: October 1, 2024 All Fields (*) must be completed for acceptance.
*Surname :
*Firstname :
Preferred Name :
Hospital :
*Mobile / Phone :
Email :
NB: Microsoft (@msn.com, @outlook.com, @hotmail.com, @live.com) addresses get blocked by their email server - so please use an alternate email.Gmail is OK as are all known Hospital and University email systems.
Also, server generated emails may be filtered as SPAM.Please check your SPAM/Junk folder and allow 10-15 minutes for the registration email to appear.
*State / NZ :
Faculty :
Dietery Requirements :
Emergency Contact :
Contact Mbl/Ph :
Afternoon viva sessions(*) - candidates can elect to attend either trial vivas, simulating the examination process, or small group tutorials:
I understand that my position on the course is based upon clearance of payment by EFT or through PayPal and that the order of clearance determines placement: Accepted.
If you wish to pay via PayPal, please check here:
A Link to PayPal will be provided on submission.
PLEASE NOTE - The Registration eMail may go to your SPAM folder - please check.
If you do not receive an email shortly, please contact: IT Support
