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Please submit the following Registration Information:

Organistation

Address

Address

Town

County

Post Code

Country

Telephone No.

Mobile No.

Fax No.

Email

Contact Person

Designation

Contact Mobile

Type of cover required

Cover Start Date

Cover End Date

For RMO Cover

Number of beds?

Paediatric Surgery?

HDU?

CCU/ICU?

Number of Theatres?

Phlebotomist?

Rotations?

Please email specifications, job description, all relevant information and any special requests or use information box

t. +44 1827 254562
m. +44 7824 333030
30 Valley Drive, Wilnecote, Tamworth, Staffordshire, B77 5FP