Get Ebir Application Form – General Information 2019-2025

Filling out the EBIR Application Form – General Information online is a crucial step for individuals seeking to obtain their European Board of Interventional Radiology qualification. This guide provides you with a comprehensive, step-by-step approach to ensure that you complete each section accurately and efficiently.

Follow the steps to complete the EBIR Application Form online.

1. Click ‘Get Form’ button to access the EBIR Application Form and open it in your preferred editor.
2. Complete the contact/personal information section by entering your academic title, first name, last name, gender, date of birth, country of residence, address, and CIRSE member's ID. Also, provide your email address and phone number, along with the name, address, and contact details of your current institution.
3. In the proof of radiology and IR training section, confirm the completion of your national radiology training with the date, and indicate when you have or will complete at least two years of interventional radiology (IR) training. Ensure to provide the name and address of your training institution if it differs from your current institution.
4. Provide proof of IR experience by verifying that you have performed at least 250 IR procedures, including 150 interventions as specified. Fill out the relevant dates during which these procedures were performed.
5. In the signature of the authorised representative section, ensure that your authorised representative, typically a hospital director or programme director, signs and dates the application. They must confirm the accuracy of the training and experience information.
6. Complete the competency checklist by having the relevant authority rate your competencies on a scale of satisfactory or unsatisfactory. Ensure the eligible signee's function is noted.
7. In the curriculum vitae section, list any relevant educational events you have attended in the past five years that meet the CME credit requirements. Document your work experience in radiology or interventional radiology, and include any published works.
8. Finally, sign and date the application in the signature of the applicant section, confirming that all the information provided is correct.
9. Review your completed application form for accuracy. Save changes, and then proceed to download, print, or share the form as needed.

Complete your application today by filling out the EBIR Application Form online.