If you require an extension to the timeframe for training in relation to the Diploma and/or Letters of Competence, please complete this form. We will review every application for extension on an individual basis and we will inform you the decision within 14 working days of you submitting this form. 

The maximum we can extend your date is 12 months. However, please note that we cannot offer extensions after 31 March 2021 to those completing the current Diploma training as the NES e-portfolio will close on this date.

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* 1. First name:

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* 2. Surname:

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* 3. Membership number:

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* 4. GMC/NMC number:

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* 5. Email address: 

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* 6. Which qualification(s) do you wish to apply for an extension for?

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* 7. Original recertification date:

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* 8. Reason for your extension request:

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* 9. Date(s) of time away:

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* 10. Declaration:

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