Register my interest in INR training

 

  • First Name *
  • Last Name *
  • Date of Birth (DD/MM/YYYY) *
  • Email *
  • Contact Telephone *
  • Mailing address
  • City of Residence *
  • Country of Residence *
  • Are you an Australian citizen? * Yes  No 
  • Primary Medical Qualification (eg. MB BS) *
  • Postgraduate qualification (eg FRANZCR, FRACS) *
  • Date of completion of specialist training *
  • Earliest available starting date with SNIS *
  • Are you prepared to undertake a two-year training program with SNIS * Yes  No 
  • Questions/comments

Please upload the following documents:

  • 1. Copy of your medical degree
  • 2. Copy of your postgraduate certificate
  • 3. Letters of support from two referees
    (one must be from your current supervisor)
  •  
  • 4. Photo ID (Passport or driver's license)
  • 5. Up-to-date curriculum vitae
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    Type the characters you see in the picture above