SSGMC - Upholding Medical Standards, Protecting Patients

SSGMC Reg. No (Obtained during registration-check your email)*:

License type:

Citizenship*:

Nationality*:

Select Type of ID

ID No*:

Date of Birth:

Physical Address:

Email:

Phone:

Registration Category:

Specialty:

Sub-Specialty:

Reasons for Certificate of status*:

Intended Country of stay/study/practice*:

Institution:

Period:

If certificate is for travel, when are you expected back into the country:

Surname:

First Name:

Other Names:

SSGMC Reg. No (Obtained during registration-check your email):

Email:

Phone:

1. Photo

2. A recommendation by a registered practitioner of good status (the Referee)

3. A copy of Reg. certificate

4. A copy of Private practice license

5. Evidence that the practitioner is not under any investigation by the GMC

6. Payments slip

Registration Status Certificate