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HPAT online registration - page 1
HPAT is used in the selection process by the University of Ulster only. If you are
applying to one of these medical schools (i.e. National University of Ireland Galway,
Royal College of Surgeons in Ireland, Trinity College Dublin, University College Cork,
University College Dublin), you should be applying to sit HPAT-Ireland (which is a
different test) at
www.hpat-ireland.acer.edu.au
Personal Details
*
Surname
*
Given name
Middle initial
*
Sex
male
female
*
Date of Birth
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
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24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
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1951
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1958
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1960
1961
1962
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1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
*
Residency
- select -
European Union (UK, Republic of Ireland)
European Union (Other)
Outside European Union
Address and contact details
*
Address
*
Town/Suburb
*
County
*
Postcode
*
Country
- select -
Northern Ireland
Republic of Ireland
Other
If you selected "other",
please enter the country name
*
Phone Number (inc. area code)
*
Email
If you are using a Hotmail or Yahoo email address, it is suggested that you use a
different email service provider for the purposes of HPAT registration, or that
you put hpat@acer.edu.au in your email address book to prevent emails from the
HPAT Office from being flagged as spam or junk mail by your email service providers.
*
denotes required field
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for
Educational Research