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Application for Admission as Special Clinical Student

Eligibility

Postings

Applying for a Posting

Application Form

Documents To Be Submitted By Post

Application Fees

Confirmation of Student Status

Health Screening

Insurance

Other Information

Vaccinations

Changes /Cancellations

Evaluation

Immigration

Accommodation

Available Postings

Documents Required for Elective Application

Ongoing Infection Control Precautionary Measures

Download Application form

 

Instructions for applicants:

  • Ensure that you have read all the information on Admission of Special Clinical Students. Failure to complete your application form properly will delay processing and affect your chances of getting a preferred posting.

  • For clarifications, please email to Ms Serene Goh at medelectives@nus.edu.sg.

Note: Fields in RED are compulsory, please check them for completeness before submission.


1. Applicant's Particulars

Name (as in your NRIC or Passport):

Gender:

Date of Birth:

/ /

Age:

NRIC/Passport:

Nationality:

Email:

Phone/Fax:

Postal Address:

Phone/Fax in Singapore:

 

* Compulsory for Singaporean /Permanent Resident

Address in Singapore:

 

* Compulsory for Singaporean /Permanent Resident

Next of kin:

Address/Phone/Fax of next of kin:


2. Background of Medical Education

Name of parent medical school:

Address/phone/fax:

Name of Elective Co-ordinator:

Email of Elective Co-ordinator:

Current year of study:

Year of study at time of elective with us:

Expected date of graduation:

/ /

Briefly indicate clinical experience up to time of proposed elective (Please attach an outline of your medical course):


3. Proposed Elective Positions

Overall period of attendance as a special clinical student (please indicate day, month and year)

From:

/ /

To:

/ /

Weeks:


 

Posting in dept, hospital
(eg. Cardiology, NUH)

You can indicate up to 4 posting requests per application. Please make a fresh application for additional or alternative posting requests after the submission of this application.

Duration
(in wks)

From

To

1.

/
/
/
/

2.

/
/
/
/

3.

/
/
/
/

4.

/
/
/
/

The Ministry of Health, Singapore, MOH Holdings Pte Ltd and the hospitals/institutions participating in this programme may from time to time organise events for students and professionals in the healthcare industry. Your personal particulars may be provided to these entities for the purpose of informing you of such events and opportunities available in the healthcare industry in Singapore.

Please tick here if you do not consent to the disclosure of your personal particulars as described above.


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