Please use your NHS email address if you have one
GMC registration number for example
Specify when they will attend (or if alternative arrangements approved).
Enter the long number printed on the card.
1 x clear passport size photo and 3 x forms of ID will be required to be able to prepare your ID and Smartcard. This must include at least one of the following ID documents:
- 1 x photo, with 2 x name and address
- or 2 x photo with 1 x name and address
• Photo must be clear, with no flash reflections and no 'red eye'
• facial expression must be neutral
• must show both edges of the face clearly and must show a full front view of face and shoulders, squared to the camera.
Example of acceptable image .
Example of unacceptable image .
ID requirements (photo ID, and, name and address):
• Photo ID must include passport/driving license or valid ID/resident card.
• Statement must include full name and address of were currently residents, must be within the last 3 months or if council tax then this years period.
• NO Mobile phone statement will be accepted.
Drop files here or click to upload
Please upload your photo and ID documents - you can upload multiple files through this upload field.
PLEASE ENSURE YOU HAVE UPLOADED YOUR PHOTO AND ID DOCUMENTS (ABOVE) BEFORE CLICKING SUBMIT.