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Then please fill up all the relavant details below to avoid automatic cancelation of your registration.
Personal Information
Programme Name
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Clinical electives
Public health elective
Laboratory elective
Anatomy courses
Taster course in Medicine
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Country
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Afghanistan
Aland Islands (Finland)
Albania
Algeria
American Samoa (USA)
Andorra
Angola
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Antigua and Barbuda
Argentina
Armenia
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Australia
Austria
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Bhutan
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British Virgin Islands (UK)
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Burma
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Central African Republic
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Chile
China
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Cocos (Keeling) Islands (Australia)
Colombia
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Cuba
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Finland
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French Polynesia (France)
Gabon
Gambia
Georgia
Germany
Ghana
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Greece
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Grenada
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Guam (USA)
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Guinea
Guinea-Bissau
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Libya
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Macedonia
Madagascar
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Malaysia
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Mali
Malta
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Mauritania
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Morocco
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Nauru
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New Caledonia (France)
New Zealand
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Nigeria
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Norfolk Island (Australia)
North Korea
Northern Mariana Islands (USA)
Norway
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Palau
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Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands (UK)
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Reunion (France)
Romania
Russia
Rwanda
Saint Barthelemy (France)
Saint Helena, Ascension and Tristan da Cunha (UK)
Saint Kitts and Nevis
Saint Lucia
Saint Martin (France)
Saint Pierre and Miquelon (France)
Saint Vincent and the Grenadines
Samoa
San Marino
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Saudi Arabia
Senegal
Serbia
Seychelles
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Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen (Norway)
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
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Tokelau (NZ)
Tonga
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Vietnam
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Western Sahara
World
Yemen
Zambia
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Upload Professional Photo
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University/School/Education Details
Name of the Medical School / University
*
Address of Medical School / University
*
Telephone Number of Medical School / University
*
Current course
*
Year of Admission
*
Expected Date of Graduation
*
Previous Higher Educational Qualifications
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Upload Complete CV
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Dean's Letter
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Declarations
Information provided me are true and accurate to the best of my knowledge
- Select Option -
Yes
No
I have no criminal convictions
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Yes
No
I am under no disciplinary proceedings by my medical school/university
- Select Option -
Yes
No
It is my responsibility to obtain Sri Lankan visa stamp on my passport from the relevant Sri Lankan High Commission
- Select Option -
Yes
No
I am aware that I cannot complete my elective while on a tourist visa and I need to apply for a business visa which may need to be extended depending on the duration of my elective
- Select Option -
Yes
No
I am aware that I need to pay additional amount for the visa extension
- Select Option -
Yes
No
I am aware I am not eligible for a refund if I cancel less than two weeks from the scheduled start date of elective
- Select Option -
Yes
No
I am aware that the process of refund will take up to 3 months
- Select Option -
Yes
No
I am aware that a non-refundable processing fee of USD 20 is to be paid
- Select Option -
Yes
No
I am aware that I need to pay for my accommodation in addition to the standard elective fee
- Select Option -
Yes
No
I hereby declare that I will bear my expenses during the elective
- Select Option -
Yes
No
I am aware that my application will not be processed if I do not reply to any communication by KDU on time
- Select Option -
Yes
No
Details of Elective Attachments(For Clinical Electives )
Elective No:01
Elective No:02