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Personal details

Date Of Birth

Contact details

Additional Information

Specialities: Please select if you have experience, or have done a course, in the following (Press ctrl & click to select multiple options or Select all)

Speciality level:

Available to work in: (Select all)

Compliance Documents

The following documentation will be required to complete your application:

The following training certificates will also be needed:

  • Training in the Management of Violence and Aggression
  • Manual Handling
  • Basic Life Support (CPR)
  • Fire Training
  • Hand Hygiene
  • Children First Training
  • Compass Training
  • Advanced Cardiovascular Life Support (ACLS) - Doctors in General Medicine
  • Advanced Trauma Life Support (ATLS) - Doctors in A&E
  • Paediatric Advanced Life Support - Doctors in Paediatrics
  • PROMPT & CTG - Doctors in Obs & Gynae

This documentation must be uploaded to your Locum Express account once your account has been approved.