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2025 Declaration of Intention To Sit Form

rcvs declaration of intention

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Shriyansh mishra
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14 views5 pages

2025 Declaration of Intention To Sit Form

rcvs declaration of intention

Uploaded by

Shriyansh mishra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Statutory Membership Examination: Initial declaration of intention to sit

form
If you hold a veterinary degree and intend to sit the RCVS Statutory Membership Examination, you
must declare your intention to sit using this form. Please read section 2 of the Examination Guidance
for further information.

This form is designed to be completed electronically, please click in the appropriate areas/boxes to
complete each part.

Part 1: Personal details

Title:

If ‘other’ please list Click here to enter text.


Family name/ Surname: Click here to enter text.

Forename: Click here to enter text.

Middle name(s): Click here to enter text.

Date of Birth: Click here to enter a date.

Nationality: Click here to enter text.

Country of birth: Click here to enter text.

Gender:
Female Male Non-binary
Transgender Intersex I prefer not to say
Telephone number: Click here to enter text.

Email address: Click here to enter text.

Have you registered your intent No Not sure Yes


to sit before in the past?
Current Address

House name/number and road Click here to enter text.

Town Click here to enter text.

County Click here to enter text.

Postal/Zip Code Click here to enter text.

Country Click here to enter text.

1
Part 2: Professional qualifications

You must provide evidence of your veterinary degree for the RCVS to confirm you are eligible for
the examination and to ‘see practice’.

When did you start and finish your Start: Click here to End: Click here to
veterinary degree? enter a date. enter a date.
What was the normal length of your 3 4 5 6 7
veterinary degree course (in years)?
Provide the title of your primary veterinary Click here to enter text.
degree as it appears on your certificate:

Recognised abbreviation/post nominals (if Click here to enter text.


any):
Which University awarded your degree? Click here to enter text.

University city and country: Click here to enter text.

Date of graduation: Click here to enter a date.

Is your veterinary degree recognised by the Yes No


national government in the country it was
issued?
Is your veterinary degree on the World List Yes No
of Universities?

Is your veterinary degree on the AVMA-


Listed Veterinary Colleges of the World? Yes No

2
Part 3: Veterinary registration information

Are you currently, or have you at any time,


been on a Register of persons qualified to Yes No
practise as a veterinary surgeon in any country
or state?
If yes, please complete the details below.
If no, please move on to Part 4 of this form.
Date of registration: Click here to Registration Click here to
enter a date. expiry: enter a date.
Renewal date (if applicable): Click here to enter a date.

Name and address of Registration Authority Click here to enter text.


(including country):

Registration Authority website and email Click here to enter text.


address:
Do you have a registration certificate or
veterinary licence? Yes No
If yes, please provide a copy with your
submission.
Have you ever been banned, suspended or Yes No
refused permission to practise as a veterinary
surgeon?

If yes, please provide further details. Click here to enter text.

Veterinary surgeons, and those applying to be registered as veterinary surgeons, must


disclose to the RCVS any cautions or convictions, including absolute and conditional
discharges and spent convictions, or adverse findings (including by another regulator or
professional disciplinary proceedings) which may affect registration, whether in the UK or
overseas (except for minor offences excluded from disclosure by the RCVS).
For more information, please see www.rcvs.org.uk/convictions

3
Part 4: English language competency

For further information regarding this section of the form please refer to sections 2.7 and 4.2 of the
Exam Guidance.

Was your primary veterinary degree taught and Yes No


assessed entirely in English?
Do you feel that your English language skills are Yes No
sufficient to practise veterinary surgery in the
UK?
Are you eligible to apply for an exemption from Yes No
English language testing?

If no, please proceed to Part 5.


If you have answered ‘Yes’ to all questions in section 4 of this form, you must provide supporting
evidence with your application.
 A letter from the university where you obtained your primary veterinary qualification stating
that the degree was taught and assessed entirely in English
Or
 A copy of your degree transcript where it clearly states the method of instruction was
English.

Please note that only primary/Bachelor veterinary degrees can be used as evidence for English
language test exemption.

4
Part 5: Supporting documents checklist and Declaration

Please send electronic copies, not paper copied or original documents. The RCVS no longer
accepts postal applications.

A copy of your degree certificate and a Yes No


translated version (if applicable)
A copy of your degree transcript and a Yes No
translated version (if applicable)
A colour copy of your valid (in date) passport Yes No
(photo page only)
A copy of your registration certificate or Yes No
veterinary license (if applicable)
Evidence to support exemption from English Yes No
language testing (if applicable)
A completed Self-Assessment Skills List Yes No
Declaration:

I declare that all the information given by me is true at the time of signing and I understand that any
inaccuracies may affect the decision(s) given on my application to the RCVS. I also confirm that I
have my original passport and qualification certificate and will supply these if requested to do so.

Veterinary surgeons, and those applying to be registered as veterinary surgeons, must


disclose to the RCVS any cautions or convictions, including absolute and conditional
discharges and spent convictions, or adverse findings (including by another regulator or
professional disciplinary proceedings) which may affect registration, whether in the UK or
overseas (except for minor offences excluded from disclosure by the RCVS). For more
information, please see www.rcvs.org.uk/convictions
Signature: Date: Click here to enter a
date.
(An electronic
signature is
acceptable)

Once you have completed this form, please submit it along with your supporting evidence (see section
5 for the checklist) to [email protected]

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