PLAB 1 Application form

For PLAB 2 Click here

 

To apply for the PLAB 1 course, Please fill this form and click on Submit. Thanks for choosing PLAB Right and all the best.

 

For PLAB 2 Click here

 

* Mandatory fields

 

Your name*......................
Date of Birth.......................
Sex................................... Male  Female

EMail*..............................

Address.............................
Address 2nd line..................
Address 3rd line...................
Country of residence ...........
Post code...........................
Telephone Number...............
Mobile Number.....................

OSCE exam date..................

Leave it blank if not known

GMC Reference Number......

Required for Sponsorship Scheme

 

    Preferred date of the Course........    

    

 PLAB 1 Course dates

  26th September - 2nd October

  14th -20th  October 2008

  9th -15th  January 2009

 

Select your accommodation and Travel preference

 

 

 

1. Standard shared accommodation (4): £ 40/ week; £60/ 10days

Select this option for spacious room shared by 4. Rooms are shared between 3 - 4 people. Separate Male and Female accommodation available. You will be sharing the kitchen and bathroom facility

 

 

2. Standard Shared accommodation (Twin): £ 80/week; £120/ 10 days

Select this option for twin room. Rooms are shared between 2 people. Separate Male and Female accommodation available.

You will be sharing the kitchen and bathroom facility

 

 

3. Single Accommodation :     £ 20/ day

Select this option if you wish to have separate room for yourself. You will be sharing the kitchen and bathroom facility. The room will have coffee and tea making facility, table and chair.  Single accommodation can only be confirmed 10 days before the start date of the course but we will reserve a standard shared/ twin sharing room for you until we can confirm single room

 

4. Premier Twin Sharing Accommodation :     £ 100/ week; £150/ 10 days

Select this option if you wish to have lot of facilities in your room. You will be sharing the room with one other person. You will share the kitchen and bathroom facility with other residents. The room will have coffee and tea making facility, table, chair and PC with internet connection.  Separate Male and Female accommodation available. This accommodation can only be confirmed 10 days before the start date of the course but we will reserve a standard shared/ twin sharing room for you until we can confirm  premier room

 

5. Premier Triple Sharing Accommodation :     £ 60/ week; 90/ 10 days

Select this option if you wish to have lot of facilities in your room. You will be sharing the room with one other person. You will share the kitchen and bathroom facility with other residents. The room will have coffee and tea making facility, table and chair.  Separate Male and Female accommodation available. Premier accommodation can only be confirmed 10 days before the start date of the course but we will reserve a standard shared/ twin sharing room for you until we can confirm Premier room

 

6. Travel Arrangements:

 

Tick this box for FREE sponsorship

Pick up from the Manchester Airport (£ 35)

Pick up from the Liverpool Airport/ Coach Station/ Train Station (£ 10)

Make arrangements to travel from London to Liverpool (Free, terms and conditions apply)

 

 

If your friend is also joining to the course then you can get discount.  Click here for more information. To get this offer simply write the names of your friends who are joining the course with you. Others can leave this field blank

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