UEMS European Board of Dermatovenereology Diploma (EBDVD) Examination

on 31st July – 1st August 2020, Frankfurt am Main, Germany

Application


The deadline for application is 1st of May 2020 ("first come, first served").
Required fields are marked with *
Title*

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Last Name*
Please type your full name.

First Name*
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Date of birth (DD/MM/YYYY)*
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I have citizenship (passport) of the European Union Member State or a signatory country of the European Economic Area Agreement or Switzerland.
Citizenship EU/EAA/CH*

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Nationality/Citizenship*
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Country you are applying from*
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E-mail
(will be used for the correspondence!)*
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Address*
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Correspondence address
(if different)
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You are Specialist or Resident in*

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You are applying as*

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Repeaters (marked 1) and those who postponed the examination (marked 2) are asked to provide the information:
(1) Repeater from year
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(1) I have to repeat session / sessions number
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(2) Postponed the examination in year
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Your Eligibility to sit the EBDVD Examination*

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SPECIALISTS are asked to provide the information: *
Date of Board Certification in Dermatovenereology / Dermatology / Venereology
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Country in which you are certified as a Specialist
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Authority (Institution) that issued the certificate
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Your affiliation as place of work
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RESIDENTS are asked to provide the information: *
Date of completion of studies in Medicine (conventional medicine) and of gaining of qualification of Medical Doctor
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Country of completion of studies in Medicine
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Institution of completion of studies in Medicine
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Training centre of your training in Dermatovenereology/ Dermatology/ Venereology
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New candidates are asked to submit REQUIRED DOCUMENTS *

For SPECIALISTS (marked S)
• Copy of Board Certification in either Dermatovenereology / Dermatology / Venereology
• Curriculum vitae

For RESIDENTS (marked R)
• Copy of document of completion of studies in Medicine (conventional medicine) and of gaining of qualification of Medical Doctor
• Letter of reference confirming time of training (from the chairman of the institution or programme director, four years is the required training period)
• Curriculum vitae

You must submit a translation of every document that is not in English along with the document in its original language. We strongly advise you to obtain translations from commercial translation services or from court/council appointed translators. We require that the documents should bear the contact details of the translation service or translator. We require a copy of the document that has been translated and it should be attached to the translation and be stamped by the translation service and competent authorities.

Documents * (only PDF, each max. 5 MB. !!! Please AVOID blanks and special characters in filename !!!):
(S) Board Certification
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(R) Document of completion of studies
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(R) Letter of reference
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(S) (R) Curriculum vitae
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Please type in the 4 digits*
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With this application You confirm that You are aware and agree to the terms and general conditions of the UEMS European Board of Dermatovenereology Diploma (EBDVD) Examination.