Events

2025 Vascular Surgery ST3 Self-assessment Verification Panel

Please note, by registering using this form, you are CONFIRMING your attendance on each day you
select. Completing this form is not to indicate your availability.

Available

75%

Capacity Left

Venue: remote/virtual panel

GMC / GDC / GPhC / Professional Registration Number

Salutation/Title

First name

Last name

Mobile number

Which region in the UK are you based in?

Panel Member type

Primary employer name (to find your employer names start to type the name)

Male

Female

Ethnicity

The data collected in this form will be used to monitor panel diversity and not to select panels. Diversity information will always be anonymised and will not be linked to your other personal information.

Any personal data collected will be treated as confidential in line with the principles of the Data

Protection Act 1998.

Please provide a contact mobile number *

YES

Have you completed Equality and Diversity training in the last 3 years?

I confirm I will complete Equality and Diversity training ahead of attending interviews.

Time slot	2025 Vascular Surgery ST3 Self-assessment Verification Panel	Remove booking?
09:00 - 17:00

Reason for Declining

Cancel

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PGMDE Events Portal

2025 Vascular Surgery ST3 Self-assessment Verification Panel
15 Jan 2025 - 24 Jan 2025 09:00 - 17:00

Register your place on the event

Gender

Are you a current trainee?

If No tick here to confirm that you will complete Equality and Diversity training ahead of attending

Wed 15th Jan 2025