Apply

 

CAOS Fellowship Application form

 
Personal Information
Name :
Date of Birth :
Address :
Telephone :
Email :
 
Qualifications
Subject/Qualification Place of study Grade/Result Year obtained
 
Current post
Employer name :
Employer address :
Job Title :
From (mm/yyyy) :
To (mm/yyyy)
Subspecialty :
 
Summary of Previous CAOS or related experience (most recent first)
 
Objectives:

Q. Which CAOS centre do you want to visit?

Q. How long you want to stay for CAOS fellowship?...

 
 
Requirements:
Are you a member of CAOS international? Yes No
Are you a member of CAOS national society? Yes No
Do you have a visa for the host country? Yes No
Did you work in this country before? Yes No
And do you have a licensetopractise? Yes No
Why Should you be selected for this fellowship?    
   
 
Reference
Referee Name :
Job title :
Address :
Telephone :
Fax :
Email :
Relationship :
 
 
Attached documents / files (Please tick)
CV Passport/ ID
Qualifications Courses & experience
Reference letters Others
Mark & send these documents through an e mail : secretariatcaosinternational@gmail.com, mhafez@msn.com