Membership & Training Application

Step 01 · What are you applying for?

Application type

Select the pathway that matches your role. This tailors the rest of the form.

For Specialists

Membership by Election

Application through election pathway.

For Trainees

Membership by Training

Application through training pathway.

Step 02 · About you

Personal details

Enter your name exactly as it appears on your medical registration.

Title *

First name *

Middle name optional

Last name *

Name on certificate * Auto-filled from your name above — you can edit it freely. Printed exactly as entered — no corrections after issue.

Step 03 · Sign-in credentials

Account security

Your email receives a 6-digit verification code immediately after submission. You'll use these credentials to sign back in and track your application.

Email address *

Password *

Confirm password *

Step 04 · Confirm & submit

Declarations

Please read and accept the following before submitting your application.

General terms & conditions * I understand that completing this application does not guarantee acceptance. My country representatives will verify and approve my application. Medical qualifications confirmation * I confirm that I hold a medical degree and full registration with the regulatory body in my country, and agree to provide documentation when requested.

Your information is protected with enterprise-grade encryption and is shared only with the ECSACOG Secretariat for verification. By submitting you agree to processing for application purposes only.

Need help? Contact our admissions team at adam@ecsahc.org or call the College support line.

Processing application

Please wait while we securely submit your details…