Application form for the European Board of Paediatric Surgery PART ONE 2018
Medical School/University (name and address)
Specialist Training (name and address of Centre and Surgeon[s] in charge of training)
Why do you wish to sit this examination:
Have you attempted the part one examination previously? If so, where and when?
Please attach documentation
Important Documents . Please do not submit your application without attaching the above documents, as this will delay the admission process.
The Part One Examination fee is
€270.00 and payment MUST be made on booking. No cash payments at exam permitted.
How to Pay
1. Bank transfer to:
Name of the account : UEMS EBPS Examination Surgery
Number of account : 001-8052819-52 IBAN Code : BE64 0018 0528 1952 BIC/SWIFT Code : GEBABEBB Name of the Bank : BNP Paribas Fortis Address of the Bank : Montagne du Parc 3, 1000 Brussels, Belgium
2. By Credit card via Paypal Invoice – if you wish to pay by credit card please tick the Paypal box and an invoice will be sent to you allowing payment by credit card. There will be a small fee added to cover the cost of Paypal transaction.
PLEASE ENSURE THAT ANY BANK TRANSFER FEE IS NOT DEDUCTED FROM YOUR EXAMINATION FEE; BANK FEES MUST BE PAID SEPARATELY
Cancellation: If a candidate cancels their examination place four weeks prior to attending, they will forfeit 50% of the examination fee. If a candidate cancels during the four weeks leading up to the examination, or does not attend, they will forfeit the full examination fee.
Please note that candidates can attempt the Part One Examination only once per year. If you do not pass your part one exam in 2018 at your first attempt, you must wait until 2019 before presenting yourself once again for the exam.
CLOSING DATE IS 10 WORKING DAYS PRIOR TO EACH EXAM DATE