Online registration form for dual trainees

As part of an agreement between the JRCPTB and the Royal College of Pathologists, all dual trainees in medical microbiology/infectious diseases and medical virology/infectious diseases need to enrol with both Colleges. This is in order that dual trainees can also take advantage of the benefits this College offers to its own registered trainees.

Since a substantial component of your training is in medical microbiology or medical virology and you will be sitting the FRCPath examination during your specialty training, the College is keen to ensure contact with you. Once you have completed the form below we will contact you confirming your registration with the College, after which you will be able to access training-related functions on our website. No other registration forms need to be completed at this stage. If you have any further questions, please contact us on [email protected].

First name *

Surname *

Email *

Phone number *

Date of birth *

Contact address *

GMC number *

Specialty *

Medical microbiology/infectious diseases

Medical virology/infectious diseases

Programme start date *

calendar

Provisional CCT date *

calendar

NTN

Deanery *

Year of training *

Mode of Study *

Full-time

Part-time

Data Protection *

In order to comply with Data Protection laws, it is essential that we have your permission to use personal data held on you, for the purpose of the Royal College of Pathologists carrying out any reasonable activity for the efficient administration of its statutory obligations with regard to specialist registration and certification. These data will only be disclosed, as part of the process of administering your training programme or application for registration, including use of an e-portfolio, with (as appropriate): the relevant regional and national training bodies, postgraduate medical deaneries/LETBs and their staff, relevant Royal College officers, representatives and staff, other relevant medical Royal Colleges or faculties, e.g. the Joint Royal Colleges of Physicians Training Board (JRCPTB), educational supervisors, training programmes directors and Heads of Schools or equivalent, The General Medical Council (GMC), specialist and trainee societies and organisations, employing authorities. I give permission for my personal details to be made available to a third party(ies) as required for the purposes of monitoring, assessing and certifying my specialist training.