MTI Matching Scheme: Data Sharing Agreement Form

Terms of agreement between RCoA and Doctor:

The Royal College of Anaesthetists (RCoA) is fully committed to the principles of data
protection, as set out in the Data Protection Act 1998.

In accordance with the Data Protection Act, we have a legal duty to protect any
information we collect from you and we will only use your information for the purposes as
described.

By submitting your CV and IELTS results to the RCoA’s Global Partnerships department,
you agree to participate in the MTI Matching Scheme. The purpose of the MTI scheme is
to find you an MTI post in the UK. To that effect, and with your permission, we will share
the documents you have submitted to us and you have listed below with medical
personnel in UK Trusts/Boards.

Please note that the RCoA is unable to take responsibility for the subsequent use the UK
Trusts/Boards may make of this data.

If you are in agreement with the above, please complete the following:

Name of
applicant (as
stated in CV)
Date of birth

Nationality

Documents sent
to RCoA

By giving us your personal information you consent to the RCoA sharing the
submitted documents with UK Trusts/Boards

Signature:

Date:

This form should be emailed along with a copy of your CV and IELTS results to
Global@rcoa.ac.uk
If you have any questions about data protection or require further information,
please email Global@rcoa.ac.uk