Declaration of Good Standing I confirm that my name is NOT currently removed from the Medical Register in any country nor have any conditions been applied. I understand that it is my responsibility to inform the College if, during my tenure of office, my name is removed or conditions applied from a Medical Register in any country. I note that the College reserves the right to withdraw membership of any committee or honorary appointment. APPLICANT NAME: APPLICANT SIGNATURE: DATE: Please provide a brief CV on one side of A4 only and attach to this application form RCOG EQUAL OPPORTUNITIES MONITORING FORM The College is committed to promoting equal opportunities in employment. It opposes all forms of unlawful discrimination and strives to ensure that its workforce is truly representative of all sections of society. In order to ensure that these policies are being followed, all applicants are asked to provide the following information, which will be treated in the strictest confidence and will not form part of the selection process. Information given is for monitoring purposes only and is subject to the provisions of the Data Protection Act 1998. Application for (Role Title ): Name Male / Female Age Marital Status
Declaration of Good Standing I confirm that my name is NOT currently removed from the Medical Register in any country nor have any conditions been applied. I understand that it is my responsibility to inform the College if, during my tenure of office, my name is removed or conditions applied from a Medical Register in any country. I note that the College reserves the right to withdraw membership of any committee or honorary appointment. APPLICANT NAME: APPLICANT SIGNATURE: DATE: Please provide a brief CV on one side of A4 only and attach to this application form RCOG EQUAL OPPORTUNITIES MONITORING FORM The College is committed to promoting equal opportunities in employment. It opposes all forms of unlawful discrimination and strives to ensure that its workforce is truly representative of all sections of society. In order to ensure that these policies are being followed, all applicants are asked to provide the following information, which will be treated in the strictest confidence and will not form part of the selection process. Information given is for monitoring purposes only and is subject to the provisions of the Data Protection Act 1998. Application for (Role Title ): Name Male / Female Age Marital Status
bbrs-president-application-form.docx