MTI Application Form

Part 2: Details of the MTI doctor or applicant
Name (this cannot be amended later, so please give all names EXACTLY as they appear in the passport)*

Given name(s)Family name
MTI doctor/applicant's email address*

Confirmation Email
Please confirm this doctor has submitted their data protection consent form and given their consent for their email address to be added to this application*

I confirm
A separate form will be sent to the doctor privately at the email address above to upload their passport or BRP once the medical personnel and supervising consultant have both signed the application.
The "next" button will take you to the next page of the application. If you can't complete sections 1-7 in full but would like to save your progress, you can use the green "save application" button at the bottom of part seven of the form.

Part 3: Details of the post and training
For guidance on MTI posts and training, please refer to part four of our MTI Explanatory Notes document.
NHS organisation employing the applicant*
NHS organisation employing the applicant (DA admin field)
NHS organisation to which the doctor is transferring*
NHS organisation to which the doctor is transferring (DA admin field)
Name of hospital for the placement*
Name of hospital to which the doctor is transferring*
Town/City of hospital*
Postcode of hospital*
Level of post*
Level of post (DA admin field)
Title of post (normally the International Training Fellow title is standard)*
Please select the clinical specialty of the post*
Please specify*
Specialty (DA admin field)
If applicable, please select the sub-specialty of the post (anaesthesia)
If applicable, please select the sub-specialty of the post (obstetrics and gynaecology)
If applicable, please select the sub-specialty of the post (paediatrics)
If applicable, please select the sub-specialty of the post (pathology)
If applicable, please select the sub-specialty of the post (physician)
If applicable, please select the sub-specialty of the post (psychiatry)
If applicable, please select the sub-specialty of the post (surgery)
If applicable, please specify the sub-specialty of the post
Sub-specialty (DA admin field)
You have indicated that this doctor has not applied to the MTI scheme through a medical royal college. It is important that doctors in this position are made aware by their employer that they will not receive any support or guidance from the royal college of their specialty throughout their placement.
Please confirm this doctor has been informed they will not receive any support from the royal college of their specialty throughout their MTI placement*

I confirm
If there are additional sub-specialties we should add to the list, please contact us at mti@aomrc.org.uk.
Start date of the placement (this should be no sooner than four weeks after the application is submitted to the Academy)*

DayMonthYear
Date
If an application is submitted to us less than four weeks before a placement's start date, there is a risk the doctor will not have enough time to obtain their visa and travel to the UK. Please either change the start date to allow more time, or confirm that the doctor and employer are aware of the risk but would still like to proceed with the above start date*

I confirm
Date the doctor entered the UK using their Temporary Work - Government Authorised Exchange visa*

DayMonthYear
Date
Start date of the extension (this should be no sooner than four weeks after the application is submitted to the Academy)*

DayMonthYear
Date
Start date of the transfer (this should be no sooner than four weeks after the application is submitted to the Academy)*

DayMonthYear
Date
Start date to go to DA (DA admin field)

DayMonthYear
Date
End date of placement, extension or transfer (no longer than 24 months from start date of placement)*

DayMonthYear
Date
End date of extension (no longer than 24 months from start date of placement)*

DayMonthYear
Date
End date of transfer (no longer than 24 months from start date of placement)*

DayMonthYear
Date
Length of placement, extension or transfer (months, maximum 24 for entire placement):*
Start date on doctor's BRP (for extensions and transfers)

DayMonthYear
Date
End date on doctor's BRP (for extensions and transfers)

DayMonthYear
Date
Guidance on current visa processing times is available here on the UK Visas & Immigration website under the "Work or Invest in the UK" sub-heading.
Hours of work per week (maximum 48 hours unless agreed otherwise with the applicant)*
Government guidance on the UK's Working Time Regulations is available here.
Please tick to confirm the MTI applicant will have an educational contract or other appropriate agreed training programme and support (including access to facilities and training opportunities) and undergo appropriate appraisal and assessment*

I confirm
Please tick to confirm the MTI applicant will have an appropriate Responsible Officer, from within the NHS organisation, allocated for the period of their placement*

I confirm
The "next" button will take you to the next page of the application. If you can't complete sections 1-7 in full but would like to save your progress, you can use the green "save application" button at the bottom of part seven of the form.

Part 4: Deanery approval
Has this post been approved by the postgraduate Dean? (Please note we can only accept Deanery approval via either the integrated system as part of this form or the independent Deanery approval form found on our website)*

YesNo
Have you already submitted a deanery approval request using the separate online form?*

YesNo
Postgraduate Deans are responsible for approving the details of the MTI post, not the individual doctor, so a separate deanery approval request form must be submitted.

Instructions to submit a deanery approval request:

1) Please select the relevant deanery region from the dropdown below.

2) The next time you save this application, a link to the separate deanery approval request form will be provided in the following email auto-response.

3) Please follow the link and complete the separate form. Once the request is submitted, automated updates will be sent to all email addresses entered on this application form as the request progresses.

4) Most of the fields will be pre-filled using the information you have entered in part three of this application form, but there is also some additional information you will need to provide.

5) Please note that the pre-filled fields in the deanery approval request form cannot be edited, with the exception of the start and end date. This is to ensure the details remain consistent across both forms.

6) If you open the deanery approval request form and realise you have made an error with any of the post details, please do not submit the request. Instead, return to this application form to make the necessary edits. The next time you save the application, a new link to the deanery approval request form will be provided in the auto-response with the correct details.
Instructions to upload the record of the Dean's approval:

Once the Dean has approved the post, please change the answer to "Has this post been approved by the postgraduate Dean?" to "yes" (above), then upload the PDF file named "Record of Dean's approval_Dr [name]" in the file upload field that appears.
Please select the relevant deanery region:*
Deanery region (hidden admin field)
Deanery email address (hidden admin field)
PDF record of the Dean's approval (Please note this must have been approved within 6 months of the doctor's proposed start date):*

Cancelof
The "next" button will take you to the next page of the application. If you can't complete sections 1-7 in full but would like to save your progress, you can use the green "save application" button at the bottom of part seven of the form.

Part 5: Route to GMC Registration
New Placement? (Hidden)
As this is an application for an extension or transfer, we will not need evidence of this doctor's GMC registration.

Please continue to Part 6 using either the grey tabs at the top of the form or the blue "Next" button below.
For guidance on the documentary evidence of GMC registration that we can accept, please refer to part three of our MTI Explanatory Notes document.
Is this doctor being sponsored by a medical royal college or any organisation other than their NHS employer for their GMC registration?

YesNo
ERROR: You have listed a medical royal college as this doctor's GMC sponsor, but selected "no" on page one to the question "Has any organisation other than the NHS employer (e.g. a medical royal college) been involved in this application, even if not acting as the doctor's GMC sponsor?"

Before this application can be submitted to the Academy, it needs to be approved by the doctor's GMC sponsor organisation. Please return to page one and select "yes" to the above question.
Please select the organisation sponsoring the applicant*
If the doctor was not sponsored by a medical royal college for their GMC registration, please select one of the options listed below*
Please confirm the doctor's GMC registration number
Evidence of GMC registration and licence to practise can be provided now or at a later point if it is not yet available. Please select one of the options below:*

I am ready to provide evidence of GMC registration and licence to practiseI would like to upload evidence at a later point
Instructions to upload evidence of GMC registration and licence to practise at a later point:

If you have selected "I would like to upload evidence at a later point" to the above question, all email addresses listed on this form will be contacted with a reminder to upload the requested documentation after the doctor's medical personnel and supervising consultant have signed this application and the doctor has uploaded their passport.

When you are ready to upload the evidence, please select "I am ready to provide evidence of GMC registration and licence to practise". A file upload box will appear subsequently.

You will not be able to submit this application to the Academy until the requested evidence has been uploaded.
Please tick to confirm the type of evidence you are uploading and that you acknowledge the relevant formatting requirements:

An email from the GMC inviting the doctor for an ID check. Jotform does not accept Outlook files, so you will need to convert a copy of the email to PDF format first. Please do not upload a screenshot.A copy of the doctor's GMC certificate. Please do not upload a screenshot of the doctor's page on the online GMC register as we will no longer accept this as proof.
Evidence of the doctor's GMC registration, or evidence that their registration and licence to practise are subject to an ID check

Cancelof
The "next" button will take you to the next page of the application. If you can't complete sections 1-7 in full but would like to save your progress, you can use the green "save application" button at the bottom of part seven of the form.

Part 6: Details of funding
For guidance on the funding of MTI placements, please refer to the MTI Explanatory Notes section of our website.
Source of funding for the post
For MTI posts not funded by the NHS or posts with mixed funding, we require documentary evidence from the funding organisation that includes the details below. Please tick each item to confirm the evidence you are uploading fulfils these requirements, as any missing details will only delay the doctor's application*

Doctor's full nameThe final funding amount in GBP (this must cover all the funding from the sponsor in one figure that matches the home sponsor salary amount on the application)Duration the salary will coverLetter headed document including details of the funding organisation
Documentary evidence of the source of funding for the post*

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Gross specific salary (must be in GBP)
Gross specific salary from Home Sponsor (must be in GBP)*
UK Employer top-up (Mixed funding only)*
Please note that it is the UK Employer's responsibility to ensure a doctor is being paid above National Minimum Wage for mixed-funding placements
As this placement is scheduled to last less than 12 months, instead of listing an annual salary, please confirm the total remuneration the doctor will receive during their placement
Gross specific contract (must be in GBP)
Additional allowances total (if any, must be in GBP)
Hourly rate (admin field to stay hidden)
The salary you have entered equates to less than the national minimum wage (NMW) (£11.44 per hour) when calculated against the number of hours per week the doctor will be working. For more information (link to be inserted here). You won't be able to submit this application until the salary is raised above the NMW.
Description of any additional allowances*
Please describe the additional allowances*
Please confirm the level of the total funding package is appropriate for the role to be undertaken and has been agreed with and accepted by the applicant

I confirm
Please confirm you agree to ensure that the MTI applicant does not require public funds and is made aware that they will have no recourse to public funds during their placement

I confirm
The "next" button will take you to the next page of the application. If you can't complete sections 1-7 in full but would like to save your progress, you can use the green "save application" button at the bottom of part seven of the form.

Part 7: Review and continue to sign
PLEASE NOTE: for transfers, please provide details for individuals from the doctor's new employer
The doctor's medical personnel and supervising consultant will be required to sign this application once parts 1-7 have been completed. We recommend the link to this application is shared with them so they can confirm their email addresses below and consent to receiving emails from Jotform.
Medical personnel (CANNOT be the same person as the supervising consultant)

First NameLast Name
Medical personnel email address

Confirmation Email
I consent to receive emails from Jotform regarding this application

I confirm
Supervising consultant (CANNOT be the same person as the medical personnel)

First NameLast Name
Supervising consultant email address

Confirmation Email
I consent to receive emails from Jotform regarding this application

I confirm
Sponsorship note request email (admin field stay hidden)
Please confirm all the information requested in parts 1-7 has been provided (if deanery approval is outstanding you can still continue to the next stage)*

All of the information requested in parts 1-7 has been providedSome information remains outstanding
Once parts 1-7 of this application have been completed, the doctor's medical personnel and supervising consultant can sign the application. Note that deanery approval and evidence of GMC registration - if the doctor is not registered already - can be uploaded at a later point as detailed in parts three and four, respectively.

A green "continue to sign" button will appear at the bottom of this page once the "All of the information requested in parts 1-7 has been provided" option above has been selected.

The "continue to sign" button will trigger an email to the medical personnel at the email address provided above. The supervising consultant will be contacted once the medical personnel has signed. Each individual will receive a unique link to sign the application.

After both the medical personnel and supervising consultant have signed, the doctor will be contacted separately to upload their passport or BRP (whichever applies).
ERROR: the same name and/or email address has been provided for the medical personnel and/or supervising consultant, which is not allowed. Please ensure different individuals with different email addresses have been listed for these roles.

Part 8a: Medical Personnel confirmation
This page can only be completed by the doctor's medical personnel once parts 1-7 of the application have been completed. When the "continue to sign" button is selected at the bottom of part seven, a unique link will be emailed to the medical personnel's email address listed in part six to complete this task.
Name*

First NameLast Name
Medical personnel email address*
Organisation*
I confirm I am this applicant/doctor's medical personnel and am authorised to complete this section of the application
Please tick to confirm that the above doctor has been appointed to the post above and the post and funding fulfil the above conditions*

I confirm
Please tick to confirm you have read and agree to comply with the employer's reporting obligations (link below) to the Academy*

I confirm
The NHS employer's reporting obligations to the Academy are listed here.
Please tick to confirm you agree to fulfil all legal obligations outlined in Appendix D (link below) of the Home Office’s sponsor guidance*

I confirm
Appendix D of the Home Office's sponsor guidance is available here.
Please confirm the MTI {docapp} is aware that TW GAE visa regulations stipulate that they will have no recourse to public funds during their placement. Due to this, the NHS employer must agree to "certify maintenance", so that, in the eventuality that there is an issue with the MTI doctor's salary, the employer must maintain and accommodate them for their first month in the UK for an amount of at least £1270*

I confirm
By default, the employer is expected to certify maintenance for MTI doctors' dependants. You have the option to decline this, please confirm below*

Certify maintenance for dependantsDecline to certify maintenance for dependants
Please tick to confirm you acknowledge that the intended purpose of the scheme is for the benefits of UK training to be taken back to participants' home countries at the end of their placements to aid their own healthcare systems*

I confirm
By signing below, you confirm you are authorised to sign this application as this doctor's medical personnel.
Signature*
Date*

DayMonthYear
Date
Part 8a complete? Admin field, stay hidden
Please use the green "Upload Signature" button below and do not close this browser tab/window until you successfully reach the "Thank you" page.

Your signature will not be uploaded without following this button

Part 8b: Supervising Consultant confirmation
This page can only be completed by the doctor's supervising consultant once parts 1-7 of the application have been completed and the medical personnel has signed.
Name*

First NameLast Name
Supervising consultant email address*
Organisation*
I confirm I am this applicant/doctor's supervising consultant and am authorised to complete this section of the application
Please tick to confirm that the above doctor has been appointed to the post above and the post and funding fulfil the above conditions*

I confirm
Please tick to confirm you have read and agree to comply with the employer's reporting obligations (link below) to the Academy*

I confirm
The NHS employer's reporting obligations to the Academy are listed here.
Please tick to confirm you agree to fulfil all legal obligations outlined in Appendix D (link below) of the Home Office’s sponsor guidance*

I confirm
Appendix D of the Home Office's sponsor guidance is available here.
Please confirm the MTI {docapp} is aware that TW GAE visa regulations stipulate that they will have no recourse to public funds during their placement. Due to this, the NHS employer must agree to "certify maintenance", so that, in the eventuality that there is an issue with the MTI doctor's salary, the employer must maintain and accommodate them for their first month in the UK for an amount of at least £1270*

I confirm
Please tick to confirm you acknowledge that the intended purpose of the scheme is for the benefits of UK training to be taken back to participants' home countries at the end of their placements to aid their own healthcare systems.*

I confirm
By signing below, you confirm you are authorised to sign this application as this doctor's supervising consultant.
Signature*
Date*

DayMonthYear
Date
Part 8b complete? Admin field, stay hidden
Your signature will not be uploaded without following these instructions

Please use the green "Upload Signature" button below after adding your signature and do not close this browser tab/window until you successfully reach the "Thank you" page.

If you cannot see the "Upload Signature" button, please contact MTI@aomrc.org.uk and we will assist you
Please confirm you understand the above guidance*

I confirm
Parts 8a and 8b complete?

Part 9: Review and submit
Fields will appear on this page once the medical personnel and supervising consultant have both signed the application.
Please confirm this doctor has uploaded their Passport*

I confirm
Evidence of deanery approval is still required for this post. Please return to part four of this form and follow the instructions.
Documentary evidence of GMC registration and licence to practise is still required. Please return to part five of this form and follow the instructions.
ERROR: You have entered an AOMRC email address in one of the email fields. We kindly request that the AOMRC is not included in any correspondence about an application before it is submitted to us, so please enter the correct email address in the relevant field.

If you have any general questions about MTI applications, please either consult the guidance documents linked throughout this application form or contact the team on mti@aomrc.org.uk.
Should be Empty:

Application for UKVI Certificate of Sponsorship for Temporary Work - Government Authorised Exchange Visa

Part 1: Form selection and guidance

Please ensure that you have contacted {pleaseSelect721} before you begin this application to provide them with details of the MTI post and applicant.

Failure to fulfill this requirement will delay this application.

Part 2: Details of the MTI doctor or applicant

Part 3: Details of the post and training

Part 4: Deanery approval

Part 5: Route to GMC Registration

Part 6: Details of funding

Part 7: Review and continue to sign

Part 8a: Medical Personnel confirmation

Part 8b: Supervising Consultant confirmation

Part 9: Review and submit