Note Data on incomplete applications will not be saved Application Pre-requisites In order to apply for this exam you will need to the following files/documents. Scanned signed Letter from your Head of Department (pdf format). I have this I need this Enter your details below to download pdf template Attach scanned pdf letter File type not supported/File must be bigger than 0KB A recent passport photo image (jpeg or png format). Attach photo File type not supported
Exam Details Please tick chosen exam centre below {{v.ExamCentre}} Date of Intended Exam €{{ctrl.formdata.exam_centre.c_RevenueHeadingPrice_stored}} Personal details CAI College ID First Name Last Name Date of Birth Gender Female Male Nationality Contact details Email Phone Address City State Post Code Country Select Country Medical qualification details Name of body with whom you obtained medical registration e.g "Irish Medical Council" Registration Number Primary Medical Qualification Year {{ctrl.current_year - $index}} Medical School / University Attended Country Qualification Awarded Select Country Please list any attempts at the Primary FRCA of the RCOA below {{$index+1}} I passed the CAI Membership MCQ examination on I passed the CAI FCAI Written examination on I passed the CAI Primary/Membership examination on or the following exempting qualification from the current examination regulations. Please tick {{e}} Attach cert File type not supported Are you in a training programme? Yes No Please name the body responsible for the programme and the grade or title of the post. e.g CAI SAT 1 Employment history Employment History: Please list {{ctrl.examTypes[ctrl.examType].employment_history_months}} months of employment in anaesthetic posts in chronological order starting with your current post. {{$index+1}} Incomplete All information has yet to be provided. Please review form. Submit Application
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