+441925582972
info@kclinicians.co.uk
England, UK

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Join with us as a clinician

How long it takes?
The registration process will take around 5 minutes to complete. You will need to complete the process in one session.

Before you start
You will need your updated Curriculum Vitae & Digital photograph it will make registration easier.

1.Title

Dr Mr Mrs Miss

Other

2. Full Name

3. Gender

Female Male Non-binary Prefer not to say

4. Date of birth

5. Mobile Number

6. E-mail address

7. Address

8. Postcode

9. National Insurance Number

10. Professional Registration Body

GMC NMC HCPC GHPc

Other

11. Registration Number

12. Renewal Date

13. Updated Curriculum Vitae

14. Digital photograph

Right to Work

15. Are you a UK Citizen of the EU or the European Economic Area (EEA)

Yes No, if No, name of the country for which passport held in Other

Other

16. I can verify that I have the right to work in the United Kingdom and will provide K Clinicians with all the necessary documents in compliance with the Asylum and Immigration Act of 1997.

Yes No

17. Have you been issued a passport or current Biometric immigration document/permit by the Home Office?

Yes, please mention Date of Issue and Expiry below No

Other

18. Please select your preferred areas of work

North West - 101 Midlands - 102 East Midlands - 103 Yorkshire & Humber - 104 Greater London - 105 South east - 106 West Midlands - 107 South West - 108 North East - 109

Consent

I, the undersigned willingly consents to the collection, storage, and processing of personal data by K Clinicians for employment and other opportunities. Contact may occur through text, WhatsApp, email, or telephone, with a commitment to confidentiality. The individual acknowledges the right to withdraw consent at any time by contacting info@kclinicians.co.uk. Consent extends to the use of provided data for analysis, reporting, and result dissemination. The individual confirms understanding of the consent statement and agrees to the outlined purposes for personal data collection and processing by K Clinicians.

19. Sign (Please type your name)

20. Date

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+441925582972
info@kclinicians.co.uk
England, UK

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K Clinicians

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info@kclinicians.co.uk
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