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Regulation 9(1)
1. Whether applying to succeed to a practice, or be appointed to a vacancy in a practice.
2. Professional experience (including starting and finishing dates to each appointment) separated into:
(a)trainee or assistant experience in general practice;
(b)general practice experience;
(c)hospital appointments;
(d)other (including obstetric) experience;
(e)any additional supporting particulars.
3. The name and address of each doctor whose name is included in the medical list by whom the applicant has been employed as a trainee or assistant.
4. Particulars of covenants restricting medical practice by the applicant in the Board’s area.
5. Names and addresses of two referees.
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