Register

To apply for positions in Australia or overseas, please complete this form and submit to the AMA (WA) for consideration.

Personal Details
First Name:
Family Name:
Email Address:
Current Address:
Phone Number:
Fax Number:
Please provide your full mailing address, and include international area codes on your phone and fax numbers.

Professional Details
Which country do you wish to work in?
What form of employment are you seeking?

Have you worked in Australia in the past 12 months?	Yes No
Have you previously worked as a doctor in Australia?	Yes No

Are you registered with any Australian Medical Board?	Yes No
If yes, please provide Medical Board details:	(state)
	(number)
	(type)

Do you have Medical Indemnity Insurance?	Yes No

What is your visa status for Australia?	None Temporary Permanent Citizen

From which country is your primary medical qualification?
What year did you receive your primary medical qualification?
Is your medical qualification assessed and accepted by the Australian Medical Council (AMC)?	Yes No

Have you passed the AMC MCQ exam?	Yes No
If yes, what was your grade?

Have you sat the AMC Clinical exam?	Yes No
If yes, please indicate if you passed or failed:	Pass Fail
If no, do you intend to sit the AMC Clinical exam?	Yes No

Have you sat the RACGP exam?	Yes No
If yes, please indicate if you passed or failed:	Pass Fail

Has your overseas medical experience been assessed by the RACGP or another specialist college?	Yes No
If yes, please provide details:	(college)
	(level)

Letter of Application / Curriculum Vitae
Application Letter:
Curriculum Vitae:

Anticipated dates interested in working while away:	to
Names and ages of accompanying family members:
Your application should include a covering letter detailing your current position, duties and responsibilities and your reasons for wanting to work in the country identified. Your CV should clearly identify all positions held with dates and a brief position description. Overseas Trained Doctors (OTD's) applying where English is not recognized as being the primary first language may have to complete the International English Language Testing System (IELTS) Academic Test. IELTS is intended to provide us with your English Language ability in listening, reading, writing and speaking. For your nearest IELTS Centre please refer to www.ielts.org.

Please ensure all above information is correct prior to submitting.