Register Online - Locum & Medical Recruitment Agency

Please check New Zealand Medical Council Web site via this link to ensure registration eligibility www.mcnz.org.nz

Surname		First Names
Male	Female	Date of Birth
Postal Address
		Home Phone
		Work Phone
		Mobile Phone
Fax Number		Email Address
Partner details (if relevant and also looking for employment in NZ)
		Graduation Year
		Graduation Country
Emergency Contact Details
New Zealand Medical Council reference (include all currently held nbs)
APC
APC Expiry Date
Professional Indemnity Details
Dates available for work	from to
Preferred Locations
Preferred Specialties

Declaration

All information that I have supplied on this registration I believe to be true and correct. I give authority for CPR nz Ltd to release my information to perspective employees and make contact with referees nominated by me. If opportunities exist for me to gain employment via CPR nz Ltd I agree to read and abide by the Terms and Conditions set down by CPR nz Ltd.