Become a Member 1 Personal2 Contact3 Account Title*-Please Select-MrMrsMsMissDrProfFirst name*Last name*Gender*-Please Select-MaleFemaleN/ADate of birth* Residency status-Please Select-Australian citizenPermanent residentTemporary residentDo you identify as an Australian Aboriginal and/or Torres Strait Islander?-Please Select-YesNo Address line 1*Address line 2City*State*-Please Select-Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaOutside AustraliaPostcode*Country*Mobile phone*Home phoneFax Email address* Enter Email Confirm Email Password* Enter password Confirm password Membership type*-Please Select-Medical studentPrevocational doctorGP registrarIndependent pathway doctorNon-VR doctorNew fellowAssociateSponsorStakeholderStakeholder/SponsorUniversity*-Please Select-Australian National UniversityBond UniversityDeakin UniversityFlinders UniversityGriffith UniversityJames Cook UniversityMonash UniversityUniversity of AdelaideUniversity of MelbourneUniversity of New EnglandUniversity of New South WalesUniversity of NewcastleUniversity of Notre Dame FremantleUniversity of Notre Dame Fremantle NTMPUniversity of Notre Dame SydneyUniversity of QueenslandUniversity of SydneyUniversity of TasmaniaUniversity of Western AustraliaUniversity of Western SydneyUniversity of WollongongNot listed aboveCurrent year of study*-Please Select-1234567Expected year of graduation*-Please Select-201420152016201720182019202020212022202320242025202620272028202920302031203220332034203520362037203820392040International Medical Graduate (IMG) Regional Training Organisation(RTO)*-Please Select-GPExEastern Victoria GP TrainingGeneral Practice Training QueenslandGeneral Practice Training TasmaniaGeneralist Medical Training (GMT)GP SynergyMurray City Country Coast GP TrainingNorthern Territory General Practice EducationRemote Vocational Training SchemeWestern Australian General Practice Education TrainingFellowship*-Please Select-FACRRMFRACGPFARGPOther end pointCurrent training term*-Please Select-HospitalGPT1GPT2GPT3EXTCCTPRRTASTOtherPathway*ADFGeneralRuralRural GeneralistOtherEstimated training completion year*-Please Select-2015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042204320442045204620472048204920502051205220532054205520562057205820592060Hospital-Please Select-Albury Base HospitalAlfred HospitalAngliss HospitalAuburn HospitalAustin HospitalBairnsdale Community HospitalBallarat Base HospitalBankstown-Lidcombe HospitalsBarwon HealthBathurst Base HospitalBelmont District HospitalBendigo HospitalBlacktown HospitalBox Hill HospitalBroken Hill Base HospitalBundaberg HospitalCaboolture HospitalCairns HospitalCalvary Health Care ACTCalvary Mater NewcastleCanberra HospitalCanterbury HospitalCasey HospitalCoffs Harbour Health CampusConcord Repatriation GeneralDandenong HospitalDubbo Base HospitalEastern HealthFairfield HospitalFlinders Medical CentreFrankston HospitalFremantle HospitalGeelong HospitalGippsland Rural Intern Training ProgramGladstone HospitalGold Coast HospitalGosford Wyong District Hospital/Northern SydneyGosford HospitalGoulburn Base HospitalGoulburn Valley HealthGreenslopes Private HospitalGriffith Base HospitalGundagai District HospitalGympie HospitalHawkesbury District Health ServiceHornsby Ku-ring-gai Health ServiceIPSWICH HOSPITALJames Fletcher HospitalJohn HunterJoondalup Health CampusKing Edward Memorial HospitalLaunceston HospitalLismore Base HospitalLiverpool HospitalLogan HospitalLyell McEwin HospitalMackay Base HospitalManly HospitalManning Rural Referral HospitalMaroondah HospitalMaryborough Hervey Bay HospitalsMater Health ServicesMercy Hospital for WomenMildura Base HospitalModbury HospitalMona Vale HospitalMonash Medical CentreMount Gambier HospitalMt Druitt HospitalNambour HospitalNepean HospitalNorth West Hospital - 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