Making the Move Junior Doctors Booking Form – 10th February 2022

Making the Move Booking Form –10th February 2022

Complete this form to book your place at our upcoming online Making the Move information session for Junior Doctors

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* 1. Please complete your contact details

Name:

Email Address:

Phone Number:

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* 2. Are you a Junior Doctor? Please note this event is for Junior Doctors only. There will be upcoming events for GPs and Consultants at a later date

Junior Doctor

Consultant

GP

Other (please specify)

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* 3. Where did you hear about our event?
(e.g. email, BMJ, Twitter, Linkedin, Facebook, Google search, referred by a friend...)

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* 4. I have read and understood the eligibility criteria on the event description

Yes

No