CCHP Application Form

Intake 2021 – 2023

Please note that only GDFM Graduates or Current/New GDFM trainees are allowed to apply for the Certificate in Community Hospital Practice

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. Screenshot/Photo of Completed PayNow Payment of Registration Fee ($214.00) made payable to: College of Family Physicians Singapore
  4. Scanned photocopy of NRIC/Employment Pass
  5. Scanned Photocopy of GDFM certificate (for GDFM graduates)
  6. Scanned Photocopy of GDFM course acceptance letter (for current GDFM trainees)

(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.
All course information pertaining to the GDFM programme will be sent via email to the provided address. Please ensure that this is the email account you would check regularly.
You will be contacted via this email address if we fail to reach you via the primary email address.

(B) Practice Information

(C) Other Information - Degrees / Diplomas Awarded

Degrees / Diplomas Awarded


(D) Documents Submission

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.


If No, please complete section (F) & (I) Payment below.
If Yes, please complete sections (F), (G), (H) & (I) Payment below.

Please take note that the availability of the subsidy is subjected to confirmation by MOH at a later date.


(I) Payment

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

Registration Fee is non-fundable.
Payment is via PayNow only.

PayNow UEN: S71SS0039J

Key in your MCR No. and Name under the UEN/Bill Reference No.

Click or drag a file to this area to upload.
PayNow to UEN: S71SS0039J