Agile MRCGP CSA/OSCE Registration Form

Course Registration Form

MRCGP OSCE/CSA Training Course
Personal Info
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Full Name*

First NameLast Name
Gender*

MaleFemale
Work Address*

Name of Work Place e.g. abc Medical Center/polyclinic/primary care center etc.

Street Address Line 2

CityCountry

Postal / Zip CodeCountry
Personal Email*
Enter only your personal email address, not the one given to you by your company/organization e.g. JohnDoe@gmail.com, @yahoo.com, @hotmail.com etc.
Mobile/WhatsApp Phone Number*
Please enter a valid phone / WhatsApp number with country code e.g. +971-00 000 0000
Facebook ID or Link (Optional)
Optional: It will help us to connect with you better as well as to know which platform is better or our marketing. We will be very grateful.
Instagram ID or Link (Optional)
Optional: It will help us to connect with you better as well as to know which platform is better or our marketing. We will be very grateful.
LinkedIn ID or Link (Optional)
Optional: It will help us to connect with you better as well as to know which platform is better or our marketing. We will be very grateful.
MRCGP & Other Exam Details (AKT, Written, CSA/OSCE)
Select Intended Exam*
Enter Name of the "Other Exam"*
Enter your Exam ID Number*
Have you passed the MRCGP AKT/MCQs?*
Select the date you passed the AKT/MCQ Exam*

YearMonthDay
Date: Year and Month is more important. If you don't remember the exact date/day then just enter 01 for day/date
When are you planning to take the AKT/MCQs exam?*

YearMonthDay
Date: Year and Month is more important. If you don't remember the exact date/day then just enter 01 for day/date
Have you passed the Written Exam?*
Only Applicable to MRCGP Dubai and Kuwait candidates. To enter date, Year and Month is more important. If you don't remember the exact date/day then just enter 01 for day/date
Select the date you passed the Written Exam*

YearMonthDay
Only Applicable to MRCGP Dubai and Kuwait candidates. To enter date, Year and Month is more important. If you don't remember the exact date/day then just enter 01 for day/date
When are you planning to take the Written exam?*

YearMonthDay
Only Applicable to MRCGP Dubai and Kuwait candidates. To enter date, Year and Month is more important. If you don't remember the exact date/day then just enter 01 for day/date
Have you taken MRCGP CSA/OSCE/RCA Exam before?*
Select Number of Previous Attempts of MRCGP CSA/OSCE/RCA Exam*
Select the date of your last CSA/OSCE/RCA attempt*

YearMonthDay
Date: Year and Month is more important. If you don't remember the exact date/day then just enter 01 for day/date
When are you planning to take the CSA/OSCE exam?*

YearMonthDay
Date: Year and Month is more important. If you don't know the exact date/day then just enter 01 for day/date
Training Course Selection
Have you ever attended "Any Other MRCGP CSA/OSCE Course" before?*
It will help us to know your level of training and exam understanding. It will help us to improve the quality of our training program.
Enter Name of that "Other Training Course"
Optional: Let us know, it will help us to improve the quality and technique of our training program to train you better.
Previously have you ever attended "the Agile MRCGP CSA/OSCE Course by Dr. Faiq Shah"?*
Select the date you last attend the course*

YearMonthDay
Date: Year and Month is more important. If you don't remember the exact date/day then just enter 01 for day/date
Training Courses for MRCGP CSA/OSCE Exams
Select the Training Course(s)*
prevnext( X )
Zoom - 05-Days Extensive Course - Jan 13 to 17, 2024Duration: 05-Days Extensive Course | Timing: 08:30 am to 06:30 pm daily (UAE Time)
2,500.00AED

Dubai - 05-Days Extensive Course - Jan 20 to 24, 2024Duration: 05-Days Extensive Course | Timing: 08:30 am to 07:30 pm daily | Venue: Hotel Hyatt Place, AlRigga, Dubai | Lunch and Coffee breaks are included
3,500.00AED

Total

0.00AED
Disclaimer & Payment Instructions
DISCLAIMER

It is to clarify that “Agile MRCGP Courses” and anyone associated with it, is not a representative of RCGP UK or acting on their behalf.

These courses are completely independent of RCGP and are entirely private venture. Attending these courses is not mandatory for the exam.

REGISTRATION & FEE PAYMENT – Read every point carefully
- Total Fee is shown at the bottom of "Course Selection" Field.
- After submitting the registration form, you will receive an email containing the payment link and bank account details.
- You can pay via CREDIT CARD or via DIRECT DEPOSIT into the bank account.
- Once the fee is received, you will be added in the training group.
- See you soon in the training course.
CONTACT US
- Email: agilemrcgptraining@gmail.com
- Mobile/WhatsApp: (UAE) +971562567208, (PAK) +923032090758
Terms & Conditions

I agree with the following terms and conditions
Must check (tick) all the boxes*

I have read and understood "The disclaimer"I have read and agree to follow "The COVID-19 SOPs & Protocols"I confirm the above registrationI will pay the full fee before joining the selected training course.
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Course Registration Form

Personal Info

MRCGP & Other Exam Details (AKT, Written, CSA/OSCE)

Training Course Selection

Training Courses for MRCGP CSA/OSCE Exams

Disclaimer & Payment Instructions

Terms & Conditions