the DoH. Please state the date on which you currently expect to complete your general practice training programme. 9 IMMIGRATION AND TRAINING STATUS (All applicants must complete this section) Surname Forenames Nationality Nationality 2 1 (if applicable) Nationality Are you a British Citizen or European Economic Area (EEA) national? YES NO If NO, please complete sections b and supply documentary evidence – Immigration Status Settled Spouse of British Citizen Yes / No Status / Refugee Permit Free Training Yes / No / grand citizen with Work Permit (in General Practice you will need Permit Free Status. It is your Yes / No / responsibility to have the correct status by the start of this post) born in the UK Passport expiry date Date of entry to Date period of entry to the UK ceases (dd/mm/yy) the UK (dd/mm/yy) Do you hold a certificate of specific training or an acquired right to practise awarded by another EEA Member State under Title IV of EC Directive 93/16/EEC? Yes / No Possession of this certificate renders you ineligible for this post 10 FITNESS TO PRACTISE PROCEEDINGS All applicants must read this statement and complete the declaration Fitness to practice proceedings by a licensing/regulatory body Statement Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medical care for, and behave appropriately towards, patients. NHS employers also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. We
the DoH. Please state the date on which you currently expect to complete your general practice training programme. 9 IMMIGRATION AND TRAINING STATUS (All applicants must complete this section) Surname Forenames Nationality 1 Nationality 2 (if applicable) Nationality Are you a British Citizen or European Economic Area (EEA) national? If NO, please complete sections b – and supply documentary evidence YES NO Immigration Status Settled Status / Spouse of British Citizen Yes / No Refugee / Permit Free Training Yes / No grand citizen with born in the UK / Work Permit (in General Practice you will need Permit Free Status. It is your responsibility to have the correct status by the start of this post) Yes / No Passport expiry date Date of entry to the UK (dd/mm/yy) Date period of entry to the UK ceases (dd/mm/yy) Do you hold a certificate of specific training or an acquired right to practise awarded by another EEA Member State under Title IV of EC Directive 93/16/EEC? Possession of this certificate renders you ineligible for this post Yes / No 10 FITNESS TO PRACTISE PROCEEDINGS All applicants must read this statement and complete the declaration Fitness to practice proceedings by a licensing/regulatory body Statement Registration with the General Medical Council or General Dental Council imposes on doctors and dentists the duty to provide a good standard of medical care for, and behave appropriately towards, patients. NHS employers also have a duty to ensure that patients receive a good standard of medical care and ensure as far as possible the safety of patients. Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. We
PAY1_HEE_Wes_Sept2016.docx