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Personal details

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Membership type

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Which membership type is right for me?

Address

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Practice Address

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Password

Please choose a password for your account. You need to enter it twice to make sure you got it correct.

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Additional Information

Date of Birth / /
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Proposer and Seconder

Please let us know who is proposing you join the society and who is seconding the motion.

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Documentation

Please select a copy of your most recent C.V.

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Include a recent photograph of yourself.

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Include a letter from your proposer.

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Include a letter from your seconder.

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Supporting Information

Please tell us about your qualifications, appointments and publications

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Logbook / Work History

A logbook is required for your membership type, how would you like to submit this?

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Please tell us the number of times you have undertaken the following procedures:


A) Trauma

* Multiple injuries include any 3 of bone, tendon, nerve, vessel, skin reconstruction
If 2 structures are repaired, document twice under appropriate heading.
If 3 structures are repaired, document under "multiple injuries".

B) Elective

Please select an up to date version of your logbook

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Terms and conditions

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