Applicants must be able to demonstrate that they possess the necessary requirements by the closing date for receipt which is 12noon on Friday 15 December 2017. (a) The form must be completed in type face (of not less than 12 pt). (b) All sections of the submission form must be completed. (c) The will only consider information contained within the submission form, including proof of qualifications. (Please provide a copy of required qualifications) .No additional information (such as CV’s) will be taken into account and therefore should not be submitted. (d) A hard copy of the completed form can be posted under confidential cover to: SMP Submissions Northern Ireland Policing Board Waterside Tower 31 Clarendon Road Clarendon Dock Belfast BT1 3BG Or emailed to: smp@nipolicingboard.org.uk Acknowledgment of your submission being received will be sent within 3 working days. Should you not receive an acknowledgement please contact 02890408500. The information that you provide in Part 2 will be used to evaluate how you meet the Minimum Criteria. Please outline the details of membership of any professional bodies in Part 3. Please sign and date the declaration at Part 4 of this submission form. SELECTED MEDICAL PRACTITIONER SUBMISSION FORM
Applicants must be able to demonstrate that they possess the necessary requirements by the closing date for receipt which is 12noon on Friday 15 December 2017. (a) The form must be completed in type face (of not less than 12 pt). (b) All sections of the submission form must be completed. (c) The will only consider information contained within the submission form, including proof of qualifications. (Please provide a copy of required qualifications) .No additional information (such as CV’s) will be taken into account and therefore should not be submitted. (d) A hard copy of the completed form can be posted under confidential cover to: SMP Submissions Northern Ireland Policing Board Waterside Tower 31 Clarendon Road Clarendon Dock Belfast BT1 3BG Or emailed to: smp@nipolicingboard.org.uk Acknowledgment of your submission being received will be sent within 3 working days. Should you not receive an acknowledgement please contact 02890408500. The information that you provide in Part 2 will be used to evaluate how you meet the Minimum Criteria. Please outline the details of membership of any professional bodies in Part 3. Please sign and date the declaration at Part 4 of this submission form. SELECTED MEDICAL PRACTITIONER SUBMISSION FORM
smp-submission-form.DOCX