Registration Form

By clicking the submit button below and participating in the prep course, you are deemed to have read and agree to the terms and conditions set forth in this form.

Terms & Conditions:

(1) No refund of fees

(2) Personal Data Protection Act

By participating in this prep course, you agree that we may collect, use and disclose your personal data, as provided in this application form, or any photographs/videos taken during the course as a result of your participation, for marketing purposes in accordance with the Personal Data Protection Act 2012.

(3) Non-Disclosure Agreement

All materials and scenarios practised are for your own use only. They are not to be reproduced in any form. By participating this prep course, you agree not to reproduce, distribute or sell our material. If found to be doing so, stern legal action will be taken.

* Indicates required field

Name of Participant *

Mobile number of participant *

Email address (this is for Dr Chung to email the prep course materials to the participant) *

School last attended *

Medical School you are applying to *

HOW DID YOU HEAR ABOUT US? *

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Registration Form​​

Registration Form

Registration Form