Regulation 35(3)
Part VIIIInformation to be supplied by doctor applying for inclusion in the minor surgery list
1. Full name.
2. Address of practice premises.
3. Registration number in the Medical Register and date of first registration.
4. Details of relevant medical experience after date of first registration (and, if appropriate, before that date) during the last 5 years together with any references.
5. Details of premises and equipment to be used.
6. Title of any post-graduate qualification held and date awarded.