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Application to RANZCP Certificate of Postgraduate Training in Clinical Psychiatry

Please complete this form to create your RANZCP account:

Privacy Notice

The information provided in this form will be collected by the RANZCP for the purpose of review and assessment against the entry requirements of the Certificate, by the Certificate of Postgraduate Training in Clinical Psychiatry Committee.

All personal information collected by the RANZCP is handled in line with its Privacy Policy.

Certificate Intake

This application is for the September 2024 intake.

Personal Details

Title
First name
Last name
Gender
Date of birth
Professional address
Mobile number
Personal email address
Cultural identity
This information will assist with the RANZCP's commitment to increase meaningful engagement with Aboriginal, Torres Strait Islander, Māori and Pasifika peoples and to help work towards improving the health and wellbeing of Aboriginal, Torres Strait Islander, Māori and Pasifika peoples as part of the RANZCP Reconciliation Action Plan and strategic plan.
Collection and use of the information you provide is in accordance with the College’s Privacy Policy. If you have any concerns, please contact certpsychhelp@ranzcp.org.

Medical Registration

Registration number
General or specialist registration
Type
e.g. general, with restrictions, conditions or limitations
Expiry date
;