Request to remove your name from a Recognised Fellows List form (HW068)

Use this form to request the removal of your name from the list of Recognised Royal Australian College of General Practitioners (RACGP) and / or Australian College of Rural and Remote Medicine (ACRRM) Fellows.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

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Page last updated: 25 May 2018

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