Registration – Application for the European PRM Board Certification by Examination

Instructions

Fields marked with star are mandatory.
Names, Country and Nationality should be written with Capital (Uppercase) letters, Dates in dd/mm/yyyy format, and Years in yyyy format.
Please pay special attention to correctly type your personal data, using Latin, non accented characters. Your name submitted through this form will be printed on all official documents (including diplomas) issued by the Board.
Certification Fee Payment has to be completed before submitting this form.
Candidates who have failed the examination may re-sit one more time without further payment, but they must re-submit the following form and fill in payment field with their initial payment details.
To help Board Treasurer retrieve your payment, detailed payment information should be provided through this form. In case sender’s name is different than candidate’s name, it MUST be declared in payment details field of this form.
After a successful submission, a confirmation message will be displayed on your screen. An email will be sent to you shortly with your Registration Number.
Configure your anti-spam, so as accept emails sent from PRM Section and Board of UEMS. Otherwise you may miss critical information about your registration, announcements, events, benefits etc.
In case you encounter problems with the online submission of your registration, please contact the Certification Secretary General at silvia.morini@ebprm.eu

Last Name (Family Name) *

First Name *

Title *

Date of Birth (dd/mm/yyyy) *

Nationality *

Email *

Confirm email *

Postal Address *

Postal Code

Town *

Country *

Telephone 1 (mobile) *

Telephone 2

Qualification Status *

Country of training *

Starting year of your PRM Specialist training (yyyy)

Year of National Qualification in PRM / Expected year for trainees (yyyy)

Training Centre *

Postal Address of Training Centre *

Postal Code *

Town of Training Centre *

Country of Training Centre *

Director/Responsible of Training *

Email (Director/Responsible of Training) *

Telephone (Work Tel - Director/Responsible of Training) *

Is this your first time to sit the PRM Board Exam? *

Paid Certification Fee (Euros) *

Payment Details (Sender's Name, Transaction Number, Date, Bank, Country) *

Comments

Terms and Conditions

I declare that I am a medical doctor, specialist in Physical and Rehabilitation Medicine or PRM trainee from year 3 of a specialist training programme (at the discretion of the training programme director) and that all data provided through this form are accurate.
The European Board of PRM reserves the right to verify your data submitted through this form.
Some identification data (name, country, email) may be sent to educational event organizers (for events under auspices of the The European Board of PRM), in order to grant you low cost participation benefits.
You accept to receive emails and newsletters directly from the European Board of PRM, and from the platforms or companies providing the examination software.
Your director of training or education supervisor has granted you the right to submit his/her data requested for your registration.
Data submitted through this form are stored in a database according to the Privacy Policy of this site. These data will be used for the European Board of PRM examination administration purposes, to define the European PRM Board's policy regarding education, to grant you low cost participation in educational events and to inform you about actions related to the European Board of PRM.
Data submitted through this form will be shared with companies contracted by the European PRM Board to conduct and support the examination.
It is the responsibility of the candidates to contact their National Manager and validate the Registration File as described in Certification webpage of this site. Please pay special attention to the deadlines. Applications without complete payments or lacking the National Manager validation will be rejected.
Examination date, time and place will be announced through the official website and National Managers.
In case of examination centers using the BYOL (Bring Your Own Laptop) procedure, it is the responsibility of the candidate to bring and use, for the whole duration of the exam, a laptop with Wifi connectivity, compatible with the examination software. Information on compatibility is available on the examination webpage.
The European PRM Board is not liable for technical issues related to the computers, network or internet connection used to access the exam. The European PRM Board cannot reimburse any personal, travel and other expenses in the unlikely event of exam cancelation, postponement or delay due to technical issues.
The European Board of PRM reserves the right to postpone, delay or cancel the examination in case of force majeure. The European Board of PRM will not be considered liable for candidates’ expenses, including but not restricted to travel, accommodation and catering, which might incur due to the postponement, delay or cancelation of the examination under force majeure circumstances.
The European Board of PRM reserve the right to publish on the official website the list of candidates who passed the Board Certification exam (First Name, Last Name, Country, Year of National Qualification, Year of Board Certification).
The results of the exam are announced by national managers in the form of pass/fail, according to a cut-off score set by the Jury of the European PRM Board, on the recommendations by the Standard Setting Committee. The decision of the Jury is definitive and binding for the candidates. The final score and the performance to the single questions are not revealed to the candidates. Failed candidates will be informed through their National Manager about their performance in each PRM knowledge domain, compared to the average performance of all participants. By submitting this application, the candidate grants the permission to the European Board of PRM to send the breakdown of the results to the National Manager for the purpose mentioned above.
The content of this application form and the data provided as annexes, including the logbook will be verified by the National Manager of the country of residence and/or country of training and certification of the applicant and transmitted to the Secretaries of the European Board of PRM. The Board Secretaries will circulate the application amongst the member of the Executive Committee and the Jury of the European Board of PRM. After the decision of the Jury, the application will be archived according to the data protection policy of the European Board of PRM. The contact details submitted herewith including the e-mail address will be used for all exchanges between the applicant and the the European Board of PRM until the final decision about the applicant’s eligibility for certification by examination is reached. Thereafter the email address, phone number and postal address might be used by the European Board of PRM and its National Managers to communicate with applicant regarding recertification as a Fellow, about Educative & Scientific Events, European Schools and Publications organized or endorsed by the European Board of PRM or the European society of PRM. The email address will be included in the newsletter mailing list of the European Board of PRM.
I accept my Firstname(s), Family Name and country of residence to be published in the list of Fellows, on the website of the European Board of PRM.
I have read and accept the Privacy and Data Protection Policy of the PRM Board of UEMS, published in the frontpage of its official website.
I have read and accepted the Examination Protocol, published on this website, and all the rules of the European Board of Physical and Rehabilitation Medicine regarding the European examination in PRM.

I have read and I accept Terms and Conditions

Registration – Application for the European PRM Board Certification by Examination

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