Contact Details
    Registration Dates
    Provisional Registration:
    AMC Part 2:
    Initial General Registration:
    Curriculum
    RACGP: YesNo
    ACRRM: YesNo
    RTO and Pathway
    Preferred RTO:
    The preliminary advice given about hospital requirements relates to EV GP Training only.
    If you are applying to other Regional Training Organisations, you need to contact them direct.
    Pathway (Rural or General):


    Please provide details of all placements undertaken in Australia and/or New Zealand since provisional registration. Include any placements you expect to have completed by the end of the current hospital year.

    Hospital Rotation Start Date End Date Weeks


    Prior Training Details
    If you have undertaken any other medical vocational training, please provide details here

    Prior GP Experience
    If you have any prior GP experience, please provide details here

    Comments