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"To educate and train the next generation of specialists in aerospace medicine"
I consent to the senior medical representative of the Civil Aviation Safety Authority, the Civil Aviation Authority of New Zealand, the Institute of Aviation Medicine of the Royal Australian Air Force, and the Aviation Medicine Unit of the Royal New Zealand Air Force to advise the Fellowship Committee of the Australasian College of Aerospace Medicine whether or not I am the subject of a current investigation, the subject of an investigation that returned a negative finding or is unresolved, or the subject of current or previous disciplinary action. I give consent on the understanding that details of the nature of any complaints, investigations, or subsequent actions will not be divulged.
I understand that this information will be used by the Fellowship Committee to determine whether I am ‘in good standing’ with the aeromedical regulators in order determine my suitability for Fellowship of the College. I give my consent voluntarily. I acknowledge that failure to provide consent will result in my application not being considered further, however I understand that I can re-submit an application in the future without prejudice.
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