The National Health Service (General Medical Services) Regulations 1992 No. 635

SCHEDULE 3

Regulation 30(3)

PART X INFORMATION TO BE SUPPLIED BY DOCTOR APPLYING FORINCLUSION IN AN OBSTETRIC LIST

1.  Name.

2.  Address of practice premises.

3.  Registration number in the Medical Register and date of first registration.

4.  Details of relevant obstetric experience during the previous 10 years (and, if appropriate, before that date), together with any references.

5.  Details of relevant training undertaken during the previous 5 years.

6.  Title of any relevant post-graduate qualification held and date awarded.