Website registration form

This form is to set up a new account with the RCOG.

To book events and perform other actions on our website, you need to be registered with us.

If you already have an account, do not use this form – please log in or reset your password to register for courses, exams or events.

If you do not already have an account, please complete this form, and you'll be automatically redirected to the 'My account' area of the website.

Email:*

Confirm Email:*

Email Type:

Password:* Your password must be between 7 and 12 characters long, and must contain at least one number and one capital letter

Confirm password:*

Your details

Title:

First name:*

Last name:*

Telephone (including STD code): Ext:

Your address details

Address type:

Department: If you are using a department we will assume this is your work address, otherwise we will set it as your home address.

Address line 1:*

Address line 2:

Address line 3:

Town/city:*

County:

Postcode:*

Country:*

Are you a medical student or healthcare professional?*

Yes

Are you based in the British Isles?*

Yes

Registered charity no. 213280

27 Sussex Place
Regent's Park
London NW1 4RG
UK

Tel +44 20 7772 6200
Fax +44 20 7723 0575