Register as a Doctor
Trained Overseas - International Medical Graduate
Date of Birth (not compulsory):
Current Residential Address:
Current Postal Address:
Country of Citizenship:
Is this the country you work and reside in?
Which country do you work in, if different to your country of residence?
Are you considering coming to Australia with family? If so please list all names and dates of birth (for
purposes) and their relationship to you:
Do you or any family member coming with you have a health problem that may affect the visa?
Please indicate your preferred method of contact:
Where did you undertake your primary qualification?
Primary qualification type:
Year of qualification:
Are you currently working?
Current country that you are (or have been) registered in:
Other Countries that you are registered in:
Have you ever had disciplinary action taken against you by any medical board in the world?
Are you from a country where English is the first language?
If no, please indicate if you have completed the IELTS (International English Language Test) or another test, indicating results in each section, and when you undertook the test:
How many years General Practice experience have you had, and in which countries? (Please do not include any years of clinical attachment)
Have you worked or been registered in Australia? If so, please provide details of registration, visa status, and sponsor if applicable:
Have you undertaken the AMC or FRACGP exams (either parts)?
If so please indicate which of the following you currently hold:
State you would like to work in:
New South Wales
City / country area you would like to work in:
Duration of stay:
1 year +
Approximate start date (please take into consideration it will take at least 3 months for registration):
How did your hear about us?
from a colleague
AGPR Rewards member
If applicable, name of AGPR Rewards member: