FRCR Expression of Interest for UK and International Teleradiology Name: Email address: Phone: Nationality: selectAfghanistanAlbaniaAlgeriaAmericanSamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLatviaLebanonLesothoLiberiaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMonacoMongoliaMontenegroMontserratMoroccoMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRwandaSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandTajikistanThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuWallis and FutunaYemenZambiaZimbabweland IslandsAntarcticaBolivia, Plurinational State ofBrunei DarussalamCocos (Keeling) IslandsCongo, The Democratic Republic of theCote d'IvoireFalkland Islands (Malvinas)GuernseyHoly See (Vatican City State)Hong KongIran, Islamic Republic ofIsle of ManJerseyKorea, Democratic People's Republic ofKorea, Republic ofLao People's Democratic RepublicLibyan Arab JamahiriyaMacaoMacedonia, The Former Yugoslav Republic ofMicronesia, Federated States ofMoldova, Republic ofMozambiquePalestinian Territory, OccupiedPitcairnRéunionRussiaSaint BarthélemySaint Helena, Ascension and Tristan Da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSao Tome and PrincipeSomaliaSvalbard and Jan MayenSyrian Arab RepublicTaiwan, Province of ChinaTanzania, United Republic ofTimor-LesteVenezuela, Bolivarian Republic ofViet NamVirgin Islands, BritishVirgin Islands, U.S. Month and Year of passing FRCR: SelectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberSelect20152016201720182019202020212022 Do you have GMC Registration? : YesNo What is your GMC Registration Number? : Do you have an active license to practice? : SelectYesNo When did you had active license? : SelectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberSelect20152016201720182019202020212022 Have you ever applied to GMC Registration? : SelectYesNo What is the current status of the application process? EPIC verification: completedin-progressnot applied OET/IELTS: completedin-progressnot applied What are your subspeciality interests? : (Select 3 as per your preference) A: Subspeciality 1Neuro RadiologyHead & Neck RadiologyChest RadiologyCross Sectional RadiologyAbdominal RadiologyMSK RadiologyPediatric RadiologyInterventional RadiologyOthers_A B: Subspeciality 2Neuro RadiologyHead & Neck RadiologyChest RadiologyCross Sectional RadiologyAbdominal RadiologyMSK RadiologyPediatric RadiologyInterventional RadiologyOthers_B C: Subspeciality 3Neuro RadiologyHead & Neck RadiologyChest RadiologyCross Sectional RadiologyAbdominal RadiologyMSK RadiologyPediatric RadiologyInterventional RadiologyOthers_C Do you have any experience working in the UK? : YesNo When, where and at what capacity? Are you on the specialist register (CCST/CCT/CESR)? : YesNo How many hours can you report a day? : 2hrs4hrs6hrsFull-time Where do you want to report from? : Reporting hub in HyderabadFrom your home Would you be interested in going on reporting trips to our UK hub? : YesNo How many months in a year? : 2mnths3mnths4mnths Enter correct values: Δ
