FELLOWSHIP

FCFP(S) Application Form

FAMILY MEDICINE FELLOWSHIP PROGRAMME
Intake 2020 – 2022

Information Required

The application process will take about 10 to 15 minutes.

Please make sure you have read and understand the fees breakdown & policies stated in our Terms and Conditions.

You will require the following documents to complete your submission:

  1. Recent Passport-sized Photograph
  2. Curriculum Vitae (CV)
  3. Letter of Good Standing from a Fellow of the College of Family Physicians Singapore
  4. An Essay of not more than 500 words to the following questions:
    a) Why you wish to take the FMFP training programme
    b) What you hope to achieve at the end of the training process
    c) In what way would you contribute to family medicine after completing your training
  5. Completed Questionnaire (please click here to download)
  6. Scan/Photo of Completed Cheque Payment of Registration Fee ($214.00) made payable to: College of Family Physicians Singapore

 

(A) Personal Particulars

Your NRIC number is collected only for the necessary purpose of verifying your qualification or medical registration in order to determine whether the College’s admission requirements have been fulfilled.
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Mobile number will be reflected in the hand book. This is to facilitate correspondences between the faculty and trainees.
Email address will be reflected in the hand book. All course information pertaining to the programme will be sent via email to the provided address. Please ensure that this is the email account you would check regularly.

(B) Practice Information

Example: M12345E

(C) Entry Criteria

(D) Qualifications

Degrees / Diplomas Awarded

(E) Appointments

(F) Documents Submission

Click or drag a file to this area to upload.
A recent photograph of yourself
Click or drag a file to this area to upload.
A copy of your Curriculum Vitae
Click or drag a file to this area to upload.
A letter of good standing from a Fellow of the College of Family Physicians Singapore
Click or drag a file to this area to upload.
An essay of not more than 500 words to the following questions:
     A) Why you wish to take the FMFP training programme
     B) What you hope to achieve at the end of the training process
     C) In what way would you contribute to family medicine after completing your training
Click or drag a file to this area to upload.
You may download a copy of the questionnaire here

(G) DECLARATION

(H) PAYMENT

Registration Fee: $214 (inclusive of 7% GST)

We accept cheque and cashier's order.
Please mail them to College of Family Physicians Singapore.

Address:
College of Family Physicians Singapore
College of Medicine Building
16 College Road, #01-02
Singapore 169854
Click or drag a file to this area to upload.
Kindly refer to our cheque sample (front). Please take note of the 6 numbers as shown and enter in the fields below for submission.
Click or drag a file to this area to upload.
Please write the purpose of the cheque payment at the back of the cheque. In this case, [FCFP(S) 2020 - 2022] should be indicated. You may refer to the cheque sample (back) if you are unsure.
Please indicate the issuing bank of your cheque for records purposes.
This is the six digit number at the bottom of the cheque.
You may refer to the cheque sample (front) if you are unsure.