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GDFM

Graduate Diploma in Family Medicine

Modular, Mandatory & Clinical Revision Courses
Application (Year 2022)

Information Required

The application process will take about 10 minutes.

You will require the following documents to complete your submission:

Screenshot/Photo of Completed PayNow Payment made payable to: College of Family Physicians Singapore (PayNow UEN: S71SS0039J)

(A) PERSONAL PARTICULARS

MCR Number *

Example: M12345E

NRIC Number *

Full Name (as per NRIC) *

Family Name *

Nationality *

Nationality - Please Specify *

Sex *

Male
Female

Date of Birth *//

Residential Address *

Postal Code: *

Mobile Number *

Email Address *

(B) COLLEGE MEMBERSHIP & COHORT INFORMATION

Are you a College Member? *

Which GDFM cohort are you under? *

(C) COURSE APPLICATION

Please select all the courses that you wish to apply for.

* Prices stated are inclusive of 7% GST
** Please note that there is no refund of fees upon registration

Family Medicine Modular Course (workshops only)

Module 1
Module 2
Module 3
Module 4
Module 5
Module 6
Module 7
Module 8

Each Module: S$428.00* (College / Non-College Member)

Mandatory Courses (workshops & e-learning)

P&P - Principles of Family Medicine & Practice Management
CCC - Consultation, Communication & Counselling
PEL - Professionalism, Ethics & Law

Each course for P&P & CCC:
S$438.70* (College Member);
S$492.20* (Non-College Member)

PEL: S$385.20*
(College / Non-College Member)

Clinical Revision Course (Mock Exam) *

S$235.40* (College Member);
S$256.80* (Non-College Member)

Please enter the year which you wish to take the Mock Exam *

(D) DECLARATION

Declaration *

I hereby make an application for the above course(s) and declare that the information stated in this application is true and correct. I understand that admission criteria and examination eligibility are subjected to changes as advised by the DGMS and the JCFMT.

(E) PAYMENT

Course Fees Payable: Please add up the amount of your selections above.

Registration Fee: S$53.50

Total Amount Payable: Course Fees + Registration Fees

PayNow UEN: S71SS0039J

Key in your MCR No. and Name under the UEN/Bill Reference No.

Please upload a screenshot of your PayNow Payment *

Click or drag a file to this area to upload.

PayNow to UEN: S71SS0039J

Bank *

Account Number *

Date of Transaction *

Account Holder Name *

Signature *

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