Online application form {Part One}

Application form to sit the European Board of Paediatric Surgery PART ONE Examination

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Incomplete application forms take extra time to process.

If you are looking for a quick turnaround, make sure you help us by submitting everything you are asked to submit

Enter date of exam*

Enter city of exam

Contact Details

Surname*

Email*

Phone*

Address*

Personal/Professional Details

Date of Birth*

Country of Citizenship*

Place and country of birth: *

Country of Training:*

First Language*

Fluency in Languages*

I am a Qualified Paediatric Surgeon*

Yes

No

Year of Qualification*

Medical School/University (name and address)*

Date of Graduation*

Specialist Training (name and address of Centre and Surgeon[s] in charge of training) *

Current Position*

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 following documents, as this will delay the admission process.

Have you enclosed? *

Full CV

Full and clear copy of your passport

Two colour passport sized photographs

Examination Fee

Upload documentation

Payments

From 2023, we are introducing a new way of paying for exam fees.

Part One Fee - 350 Euro

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.

I wish to pay by*

Bank transfer

Paypal, request invoice

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.

Confirmation

IMPORTANT

Please note that candidates can attempt the Part One Examination only once per year. If you do not pass your part one exam at your first attempt, you must wait until the following year before presenting yourself once again for the exam..

CLOSING DATE IS 4 WEEKS TO EACH EXAM DATE

I confirm that I wish to submit my application to sit PART ONE of the EBPS Examination.*

Yes

No

Date of confirmation*

Names of accepted candidates are uploaded to our website and facebook pages. Names of successful candidates are uploaded to our website and facebook pages.

Link to facebook

Please confirm acceptance that your name is included.

Yes

No

I consent to UEMS collecting and storing my data from this form.*

Yes

Facebook

Names of successful candidates are uploaded to our website and facebook pages.

Please confirm acceptance that your name is included on Facebook. *

Yes

No