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International Medical Graduate Interview Form

Name:
Phone number:
Mobile number:
Email address:
Conference Attended:	CEM 2008 BMJ Careers Fair London 2008
Year of qualification:
Country Obtained Primary Qualifications:	Licensing examinations undertaken:
	United Kingdom	PLAB (UK)
	Ireland	LMCC (Canada)
	Other:
	USLME (USA)	NZREX (New Zealand)
Do you hold a Specialist Qualification?	NO Yes
Qualification:
Country awarded: