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In order to complete this application, you will require:
An image of your primary or main award/qualification
An image of any secondary or additional awards
If you have insurance in place you will be asked to upload evidence of the policy
You can upload images or documents in any of the following formats: PNG, JPG, JPEG, BMP, DOC, PDF
If you require assistance with this form, please contact our Support Team by telephone 0207 175 6784 or by email firstname.lastname@example.org
In making an application for membership of the Democratic Orthopathic Council (DOC) I certify that I am a practitioner who is insured to practice and I confirm that I will remain insured for the full period of registration.
I understand that I will be required to pay an annual fee to maintain my membership and that I need to comply with Continuing Professional Development requirements as determined by the DOC.
I agree that if issued with membership certificate, upon the revocation, or cancellation of my membership, I shall destroy the certificate and remove any reference to DOC membership from any promotional materials.
I agree to abide by the DOC Code of Professional Conduct & Ethics and undertake that I have read and understood the DOC Disciplinary & Complaints Procedure.
I hereby certify that this application and any attachments contain no willing or negligent misrepresentation or falsification and that the information given by me is true and complete.
I understand that should an investigation disclose any such misrepresentation or falsification, my application will be rejected or my membership subsequently withdrawn.