IPSES - Guy`s and St Thomas` NHS Foundation Trust

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Free for all renal trainees and renal nurses in London
Nephrology and Transplantation Simulation
Training Course
Application Form – Wednesday, 19th September 2012
Doctors - £50 refundable deposit to reserve a place
Nurses – Require a ‘guarantor’ email to reserve a place
Name: ………………………………………………………………………………….…………………………….
E-mail address: …………………………………………………………………………………………………..
Contact telephone no: ………………………………………………...…………………………………….
Current Hospital: ………………………………………………….………………………………………….…
Grade: ……………………………………………………………….…………….…………………………………
Food allergies: ……………………….………………………….…………….…………………………………
To book a place: send a deposit cheque (made out to ‘Guys and St Thomas’ NHS
Foundation Trust’) and a completed application form to:
The SaIL Centre, 1st Floor, St Thomas House, St Thomas' Hospital, Westminster
Bridge Road, London SE1 7EH
Please note: places are only secure once the SaIL Team have confirmed in writing
availability on the course and receipt of the deposit cheque (doctor’s only) and
application form.
Email your queries to [email protected]
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