Fellowship Notification Form

Willingness to accept a 5th or 6th year trainee for advanced training in hip surgery

Name of Principle Hip Surgeon:
Name of Hospital:
Association with SpR Rotation:
Period of tenure offered:
Type of training offered (timetable if possible):
Details of any accommodation available:
Contact Consultant:
Title:
Given Name:
Family Name:
Qualifications:
Address:

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