My Account Application Cover Sheet

This cover sheet must then accompany all submissions by post to the Medical Council.

Application Reference Number 50021892

Registration Number 427277

Full Name Dr. Farai Simbarashe Nhambasora

Basic Medical Qualification Doctor-medic (Doctor of Medicine)

Type of 'Online Portal for Doctors'

Request
New Online Application for Registration
(e.g New Application, Division Transfer,
Certificate Request

Eligibility Category CATEGORY 3

Division General
F.Certificate of Good Standing/ Current Professional Status, dated within the last 3 months, to be sent
directly to the Medical Council from every registration body with whom you have held registration in the ਲ
past five years.
D. Notarised/attested copy of current passport. ਲ
A. Notarised/attested copy of basic (primary) medical qualification which was received on the day of
ਲ
conferral, clearly displaying the full date.
Check to Confirm all Documents are B.Notarised/attested copy of Certificate confirming your qualifications and training are in accordance with
included. Article 24 and Annex V, V.1, 5.1.1 of Directive 2005/36/EC IF your studies began before your country ਲ
joined the EU, with English translation.
C. Notarised/attested copy Certificate to accompany qualification issued under Directive 2005/36/EC (as
ਲ
amended). [ Refer to website]
E. When Notarising / Attesting Documents please ensure that they are notarised by a Notary Public,
Commissioner for Oaths or Justice of Peace (Copy Attested by Garda Station in Republic of Ireland is also ਲ
accepted)