General Medical Council

	To register with Pulse Connexions, please complete the form below:

	* Indicates mandatory fields

Your Requirements

	What are your preferred areas of speciality?


	Are there any areas you would not consider?


	What type of work are you looking for? (please tick) ;
	Full Time Part Time Locum

	In which geographical areas would you like to work?


	Would you prepared to live in hospital accommodation? (please tick)
	Yes No

	Do you hold a current driving license and if so what type? eg. British, International


	Do you have your own means of transport? (please tick)
	Yes No

	If working full time, how much notice are you required to give?

Your Right To Work Documentation

UK Passport			Accompanying spouse Visa
Work Permit			Practising doctor in the UK before 01/04/1985
Spouse of permit holder			UK Ancestry Visa
Working Holiday Visa			Permit Free training
Other Passport