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FPCR Requirements Checklist – The Philippine College of Radiology

FPCR Requirements Checklist

Download file: FPCR requirements checklist


APPLICATION FOR FPCR STATUS

 

 

 

Deadline for submission of FPCR Requirements: August 31, 2017

 

 

CHECKLIST:

 

Enclosed in this long brown envelope are the following:

 

1. filled-up Member Information Sheet with my recent 2 passport pictures

2. letter of application address to the PCR Membership Committee Chairman, Dr. Imarzen V. Elepaño

3. endorsement letters of 2 radiologists of good standing

4. photocopy of my DPBR certificate

5. Form RC 004 attesting that my scientific paper is accepted and approved by the Research   Committee

7. PMA Certificate of good standing

 

APPLICANT: ______________________________________________________

HOSPITAL: _______________________________________________________

EMAIL ADDRESS: __________________________________________________

MOBILE PHONE: __________________________________________________

DATE SUBMITTED: ________________________________________________