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Application for ECFMG® Certification Instructions

     
  Item 1:  Name of Applicant  

The name shown in Item 1 is the name in your ECFMG record. If this name is no longer your name as it appears on
your current, unexpired passport, you must change the name in your ECFMG record before you submit the
Application for ECFMG Certification. Follow the instructions in Item 1 on how to have your ECFMG record changed to
   
reflect your name exactly as it appears on your passport. For purposes of identity verification, the name in your
ECFMG record must match your name exactly as it appears on your current, unexpired passport.

  Item 2:  Date Of Birth  

The date shown in Item 2 is the date of birth in your ECFMG record. If this is not your correct date of birth, you must
change the date of birth in your ECFMG record before you submit the Application for ECFMG Certification. Follow the
   
instructions in Item 2 on how to have your ECFMG record changed to reflect your correct date of birth.

  Item 3:  Gender  

The gender shown in Item 3 is the gender in your ECFMG record. If this is not your correct gender, you must change
the gender in your ECFMG record before you submit the Application for ECFMG Certification. Follow the instructions
   
in Item 3 on how to have your ECFMG record changed to reflect your correct gender.

  Item 4:  E-mail Address  

The e-mail address shown in Item 4 is the e-mail address in your ECFMG record. If this is not the correct e-mail
address, change your e-mail address by selecting "No" and then entering your correct e-mail address in the space
provided. This change will be reflected in your ECFMG record after you submit the Application for ECFMG
Certification.
   
If there is no e-mail address listed in Item 4, there is currently no e-mail address listed in your ECFMG record. You
must provide an e-mail address in order to submit the Application for ECFMG Certification. This e-mail address will be
reflected in your ECFMG record after you submit the Application for ECFMG Certification.

  Item 5:  Medical Education Status  

To be eligible to complete the Application for ECFMG Certification, you must be either a graduate of or a student
officially enrolled in a medical school located outside the United States and Canada that is listed in the World
Directory of Medical Schools (World Directory) with an ECFMG note stating it meets eligibility requirements for its
students and graduates to apply to ECFMG for ECFMG Certification and examination. For those medical schools that
meet ECFMG eligibility requirements, there will be an ECFMG note on the Sponsor Notes tab of the schools' World
Directory listing.

If you are a medical school graduate, your graduation year must be included in the "Graduation Years" listed in the
ECFMG note on the Sponsor Notes tab of your medical school's World Directory listing. If you are a medical school
student, the "Graduation Years" in the ECFMG note on the Sponsor Notes tab of the World Directory listing for your
medical school must be listed as "Current."
   
To confirm that you meet these requirements, visit the World Directory of Medical Schools website, search for your
medical school, and consult the Sponsor Notes tab for your medical school listing.

IMPORTANT NOTE: In some countries, in addition to completing the medical school curriculum, individuals must
complete a period of internship and/or social service or fulfill other requirements, such as a thesis or state/national
examination, to be eligible for the final medical diploma. If you are in the process of completing the requirements to be
eligible for the final medical diploma, you should indicate you are a "Student." If you have completed the requirements
to be eligible for the final medical diploma, you should indicate you are a "Graduate," regardless of whether your final
medical diploma has been issued.

For information on eligibility for examinations, refer to the ECFMG Information Booklet.

  Item 6:  Certification by Applicant  


   
You must read the Certification by Applicant statements and click each check box to indicate that you have read,
understood, and agree to each statement. If you do not click each check box, you will not be able to proceed with the
Application for ECFMG Certification.

Application Summary and Method of Payment


This is a summary of the information you provided in your Application for ECFMG Certification. You may want to
download a copy of the summary for your reference, however, this is for your records only. This is not a substitute for
your application. Do not mail the application summary to ECFMG. The application summary will not be accepted as
an Application for ECFMG Certification.

Read this application summary carefully. This is your last opportunity to make changes or corrections to the
information before making payment and submitting your application to ECFMG.

Payment

Before you proceed, make sure you have an acceptable payment method and all of the account information ready.
See Methods of Payment for information.

Certification of Identification Form (Form 186)

Once you submit the on-line part of the Application for ECFMG Certification and payment, a Certification of
Identification Form (Form 186) will be provided. You must download this form and have it notarized via NotaryCam.
Detailed instructions are provided with the form.

IMPORTANT NOTE: If you hold a passport from Syria, you will need to have a form of identification issued by a
country other than Syria in order to use NotaryCam. If you do not have identification issued by a country other than
Syria, please contact ECFMG Applicant Information Services.

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