Your Name (required)

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Your Phone

Are you registered with the Irish Medical Council?
 Yes No
Reg. No.

Are you registered with the British Medical Council?
 Yes No
Reg. No.

Are you registered with any other Medical Councils around the world?
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Reg. No.

Country:
Reg. No.

Country:
Reg. No.

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Country:
Reg. No.

What kind of work are you looking for?
 Locum Occasional Work Contract Work Permanent Work

How long do you plan to spend working in this capacity?

What kind of work would you consider?
 Any Level Intern House Officer Resident Medical Officer Registrar  Senior Registrar General Practitioner Consultant

Specific Post Only, Please Name

What areas of Speciality would you be competent to work in? Accident and EmergencyAnaesthesiaCardiologyChemical PathologyClinical ImmunologyClinical Pharmacology and TherapeuticsCommunicable DiseasesCommunity MedicineDermatologyEndocrinology and DiabetesGastro-enterologyGeneral MedicineGeneral Physician (Hospital)General Practitioner (Qualified)General Practitioner (Unqualified)GeriatricsGynaecologyHaematologyHistopathology and Morbid AnatomyMicrobiologyNephrologyNeurologyNeurophysiologyObstetricsOccupational MedicineOncologyOphthalmologyOtolaryngologyPaediatricsPaediatric CardiologyPsychiatryPsychiatry-Child and AdolescentPublic Health PhysicianRadiologyRadiotherapyRespiratory MedicineRheumatologySports and Exercise PhysicianSurgery-GeneralSurgery-NeurologicalSurgery-Oral and Maxillo FacialSurgery-OrthopaedicSurgery-PaediatricSurgery-Plastics or AestheticsSurgery-ThoracicTropical MedicineUrologyVenereology

What locations will you work in?
IrelandNorthern IrelandUnited KingdomOverseas

I would be willing to work: Days Weekends Nights Bank Holidays

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