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  • EFC Application-to-approve-a-Colposcopy-Basic-Course-by-the-EFC-1

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    Calinnescu
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    The document is an application form for the European Federation of Colposcopy (EFC) to approve a Colposcopy Basic Course organized by a national society. It requests information on the member country submitting the application, contact details for the submitting person, and confirms that the course content is based on the EFC Core Curriculum, lasts at least 360 minutes, will use the EFC evaluation form for post-course evaluation, and includes an attached course program. It also requests confirmation that a 100 Euro fee has been sent to the specified bank account with the country name as the reference.

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    The document is an application form for the European Federation of Colposcopy (EFC) to approve a Colposcopy Basic Course organized by a national society. It requests information on the member country submitting the application, contact details for the submitting person, and confirms that the course content is based on the EFC Core Curriculum, lasts at least 360 minutes, will use the EFC evaluation form for post-course evaluation, and includes an attached course program. It also requests confirmation that a 100 Euro fee has been sent to the specified bank account with the country name as the reference.

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    © All Rights Reserved
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    10 views1 page

    EFC Application-to-approve-a-Colposcopy-Basic-Course-by-the-EFC-1

    Uploaded by

    Calinnescu
    The document is an application form for the European Federation of Colposcopy (EFC) to approve a Colposcopy Basic Course organized by a national society. It requests information on the member country submitting the application, contact details for the submitting person, and confirms that the course content is based on the EFC Core Curriculum, lasts at least 360 minutes, will use the EFC evaluation form for post-course evaluation, and includes an attached course program. It also requests confirmation that a 100 Euro fee has been sent to the specified bank account with the country name as the reference.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Application to approve a Colposcopy Basic Course by the EFC

    (This application form needs to be done in English and send to: Dr Zodzika,
    jana.zodzika@rsu.lv)

    Member Country :
    (EFC will only approve courses organized by the national societies)

    Name of the submitting person:

    E-mail address of the submitting person:

     Content: based on the EFC Core Curriculum (see note 1) □Yes


     Duration: at least 360 minutes (not including breaks) □Yes
     Post-course Evaluation: will use EFC evaluation form (see note 2) □Yes
     Programme attached □Yes
     A fee of 100.00 Euro has been sent to: □Yes
    KBC Brussels Arenberg-Horta
    Address: Rue d'Arenberg 11, 1000 Bruxelles, Belgium
    IBAN No: BE11736051039848
    BIC (Swift Code): KREDBEBB
    Reference: (Your Country name)

    NB: Approval will be for a period of 3 years. After that time you will be required to submit a
    new application.

    Date:
    Signature:

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