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Personal Details

The majority of correspondence to trainees is done by e-mail and therefore it is essential that we always have an up to date e-mail address and that you open your e-mails and read them at least once a week. Addresses and telephone numbers including mobiles are also important as we will occasionally mail you information and may need to contact you urgently.

Your personal details, in particular your e-mail address or telephone number, may be requested by a member of staff. If you have any objections please let us know. However it will not be divulged to non-medical staff i.e. patients, reps etc.

Please complete the form when you accept the post and if your personal details change:

* Mandatory field

Your name* :
Present location of post* :
Specialty* :
Post level* :
Initial Educational Supervisor :
Address 1 :
Address 2 :
Town/City :
Post Code :
Email* :
Mobile number :
Home number :
Comments :
Do you consent to your details being released at the discretion of the TPD or Head of School?* :