Get Ecfmg Namibia Form

This guide aims to provide clear and concise instructions for filling out the Ecfmg Namibia Form online. By following these steps, users can ensure that their application for verification of credentials is completed accurately and efficiently.

Follow the steps to complete the Ecfmg Namibia Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Item 1: Name. Enter your full name as it appears on your Medical and Dental Council of Namibia application. Ensure to fill in the last name on line 1, first and middle names on line 2, and any maiden or alternate names on line 3.
3. Proceed to Item 2: Gender. Check the appropriate box to indicate your gender.
4. In Item 3: Date and Place of Birth, provide your date of birth in the order of day, month, and year. Also, state the country where you were born.
5. For Item 4, enter your EICS or USMLE/ECFMG Identification Number, if applicable.
6. In Item 5: Contact Information, provide the complete mailing address that EICS will use for correspondence, including telephone and fax numbers, and email address if available.
7. Next, in Item 6: Documentation, list the required documents that you will include with your application. These must be legible and in original language copies.
8. For Item 7: Courier Service, if using this option, check the appropriate boxes and provide your courier service account number.
9. In Item 8: Medical School of Graduation, enter the full name, city, country, and graduation details of your medical school. Include the degree title.
10. Item 9 requires you to list all postgraduate medical education. Enter the full names, addresses, and attendance dates of all institutions where you undertook postgraduate training.
11. In Item 10, provide details for all jurisdictions where you held medical licensure/registration outside of Namibia.
12. Complete the Affidavit and Release and Authorization for Release of Information. Sign and date as required, and attach a current photograph.
13. Fill out the EICS Application Fee Payment Sheet and ensure the fee of US$150.00 is enclosed.
14. Lastly, save any changes made, and prepare the Ecfmg Namibia Form for submission along with all required documents.

Get started on completing your Ecfmg Namibia Form online today.