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Name: * This Field is required This Field IS NOT visible on profile
Username: * This Field is required This Field IS visible on profile Information for: Username: : Please enter a valid User Name. No spaces, more than 2 characters and contain 0-9,a-z,A-Z
E-mail: * This Field is required This Field IS NOT visible on profile Information for: E-mail: : Please enter a valid e-mail address.
Password: * This Field is required This Field IS NOT visible on profile Information for: Password: : Please enter a valid Password. No spaces, more than 6 characters and contain 0-9,a-z,A-Z
Verify Password: * This Field is required This Field IS NOT visible on profile
Working role in New Zealand: * This Field is required This Field IS NOT visible on profile
Employer in New Zealand: * This Field is required This Field IS NOT visible on profile
Professional Memberships: This Field IS NOT visible on profile
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How did you hear about this programme: * This Field is required This Field IS NOT visible on profile
I acknowledge that: * This Field is required This Field IS NOT visible on profile Information for: I acknowledge that : The personal information concerning me provided to the Royal Australian and New Zealand College of Psychiatrists (the "College") contained in this application or otherwise obtained or provided to the College in relation to this programme is provided, and may be held, used and disclosed by the College for the purpose of processing my application for participation in the Programme, administering, maintaining or notifying my participation in or otherwise for the purposes of the Programme and communicating with me for any purpose. The personal information provided in this proposal is collected and will be held by the College whose address is PO Box 10660, Wellington, New Zealand. If I fail to provide any information requested in this application the College may be unable to process or accept this application and/or permit my participation in the Programme. I have the right under the Privacy Act 1993 to obtain access to and correction of any personal information held by the College for the purpose of my participation in the Programme concerning me.
Authorisation: This Field IS NOT visible on profile Information for: Authorisation : I authorise the College to obtain at any time from any person or entity, (including but not limited to those persons nominated in this application), any information the College may require to: Process and/or accept this application. To verify and confirm any information or details I may provide to the College in the Programme. To service and maintain my participation in the Programme and to enable the College to properly perform all its functions and powers in respect of participation in the Programme. I authorise any such person to release to the College any personal information that person holds concerning me.
I accept the website disclaimer: This Field IS NOT visible on profile Information for: I accept the website disclaimer : The site is not intended to be a complete guide to the mental health system in New Zealand, or to be used for clinical decision making, which is beyond the scope of this orientation program. The purpose of this site is to provide a basic introduction to some of the issues doctors may face in their practice of mental health in New Zealand. The College does not represent or warrant that the content of this website is accurate, authentic or complete or that the information contained in this website is suitable for your needs. You should assess whether the information is accurate, authentic or complete and, where appropriate, seek independent professional advice. Each module on this site contains links and references to further resources which are recommended that you familiarise yourself with. Your use of any external website is also governed by the terms of that website. The College does not control and accepts no liability for the content of those websites, or for any loss arising from the use or reliance on those websites. The provision of a link to an external website does not authorise you to reproduce, adapt, modify, communicate or in any way deal with the material on that site. The College accepts no liability or responsibility to any person as a consequence of any reliance upon the information contained in this Website. Copyright in this Website rests with the College unless otherwise stated.
 
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