AKT Mock Exam

AKT Mock Exam
Participant Name *

Title First Name Last Name Preferred Name
Gender *

Male Female N/A
Date of Birth *

Day Month Year
Date
Country of Birth *
Where were you born?
Preferred Method of Contact *
Participant E-mail *

Confirmation Email This is where we will send webinar program information. Ensure it is the correct place for us to send it.
Participant Contact Mobile Number *
Postal Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
List all your Qualifications *
e.g. MBBS, MDDM
RACGP Number *
ACRRM Number *
Are you an International Medical Graduate *

Yes No
Country Where Medical Degree was Awarded? *
What University awarded your Medical degree? *
When did you receive your Medical Degree? *
Year
I am *

How many post-graduate years have you spent in the following RA zones? *

Years

RA 1

RA 2-3

RA 4-5

How many times have you previously sat the *

Attempt Amount/s

AKT Examination

KFP Examination

OSCE Examination

How did you hear about this program?

Facebook/Twitter QRME Website Internet Search Friend/Co-worker MJA online

My Products

AKT Mock Exam $ 299.00 AUD

Total $ 0.00 AUD