RCSEd Complimentary Affiliation - Ukrainian Surgical Trainees

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* 1. Please let us know if you have currently or previously had an affiliate membership with RCSEd:

Yes - I am a current RCSEd affiliate

Yes - I think I have been affiliated with RCSEd recently

No - I am completely new to RCSEd

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* 2. Please enter your full name and title

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* 3. Date of Birth dd/mm/yyyy:

Date

Date

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* 4. Gender:

Male

Female

Non binary

Prefer not to say

Prefer to self identify

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* 5. Preferred email address:

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* 6. Please enter your College reference number below (you can find this by logging into the College website and clicking on the 'my profile' section)

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* 7. By completing this application you understand that RCSEd will process your personal data in accordance with the terms of the General Data Protection Regulation (GDPR). We will not share your data with any third party unless there is a statutory requirement for us to do so or unless we require to do so to deliver our services. Such sharing will only be undertaken where the appropriate Data Processing Agreements are in place and for tightly controlled purposes. The College will retain your data for the periods of time described in our privacy statement. Further details may be found on our website at https://www.rcsed.ac.uk/privacy.

I agree

I do not agree