Candidate Registration

  • Terms And Conditions
  • Personal Information
  • Course Application Information

Terms And Conditions

I have read the regulations that apply to the course for which I am applying and agree to abide by them.

I understand and agree.

I confirm that I have an undergraduate medical degree and full medical registration with the regulatory body in my country.

I understand and agree.

I understand that the examination process consists of written, clinical and viva (oral) exams. I understand that I will only be accepted to take the clinical and viva exams if I have first been successful in the written exam. I understand that examination fees, transport to and from the examinations, and accommodation are my own responsibility.

I understand and agree.

I understand that completing this application form does not guarantee that my application will be accepted. I understand that my CANECSA country representatives will be requested to verify the details of my application and approve it.

I understand and agree.

Personal Information

Title

First Name

Middle Name

Last Name

Gender

Address - Street

Address - City

Address - State

Address - Zip/Postcode

Address - Country

Email

Phone Number

Photo upload

Course Application Information

I have evidence of my undergraduate medical qualification ready to upload

Upload medical qualification

I have evidence of my medical registration ready to upload

Upload medical registration

COSECSA programme applied for

Have you completed your MCS programme?