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Please read the guidance notes before completing …
1 Your title Mr Mrs Miss Ms other ( Please specify) Your first name Your surname / family name Previous name (if applicable) Your profession Once you have completed this application form, Please make a photocopy of it and all of the supportingdocuments for your own records. Please send your application by a secure postal method if you want tobe certain of ensure any payments are stapledto the front of your application make sure you have included the following documents with your application. Failure to do so willresult in your application being returned to completing your application form you will need to read the guidance notes for UK applicants and thestandards of proficiency for your profession. Please complete this form in BLOCK CAPITALS using a blackpen. & Please read the guidance notes before completing this application for registration(for applicants who have completed a UK approved programme)Registration Department184 Kennington Park Road, London, SE11 4BU(+44 (0)300 500 paymentI enclose a cheque / money order for the amount of.)
2 Section 1 Registration details Have you ever previously applied for registration with the HCPC or the Health Professions Council (HPC)? If yes, please …
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