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1. Personal Details:
2017/228129
ESA Active/Trainee Membership Number
Zahirovi (born Aganovi)
Family Name
Amela
First Name
Aleja Lipa 58
Address
Sarajevo/ 71000
City / ZIP Code
Bosnia and Herzegovina
Country
Bosnian
Nationality
05.01.1988
Date of Birth
Bosnia and Herzegovina
Country of Birth
Bosnia and Herzegovina
Country of Practice
zahirovicamela88@gmail.com
Email
0038761620208
Mobile
Bosnian, English - 4
*Language Spoken
*On a scale of 1-5 indicate level of fluency next to each language. 5 - being perfect.
Example: English 4.
Please attach relevant certificate(s) of best foreign language (if applicable.)
If the chosen centres are not available, would you accept other host center recommended by TEPC?
Yes NO
2B. How are you going to contribute the (selected) host centre?
I strongly believe that my readiness to work hard as well as my 5 year experience in a broad
aspect of anesthesiology will make me an integrative part of an anesthesiology team.
Important note:
Due to significant GMC and Royal College of Anesthetists Medical Training Initiative complex restrictions, TEPC
strongly invites EU Applicants to give primary consideration to non-UK host centres.
3A. Education:
N/A
Awards at University
2012
Year of Graduating University
2014- 3rd year of residency
Year of Residency
N/A
Year of Graduating Residency
N/A
Year of Specialization
N/A
Scholarships
N/A Click here to enter text.
*EDAIC Part I
N/A
*EDAIC Part II
If any of the above questions are not applicable, write N/A next to the question.
*Please fill in the date and the center of the EDAIC Part I/ Part II Exam .
Have you received Training or worked (clinically or in research) outside of your country?
Please give short details.
No
Current Position:
Anesthesiology resident at Clinical center University of Sarajevo
4. Personal Profile:
Write a max 300 words profile of yourself. Please refer to the following points.
List and quantify any past activities that you consider demonstrate how you have materially
5. Personal References:
These are highly popular and valuable positions:
Only candidates with the highest possible potential will be considered.
Two independent citations are required, each of not more than 200 words.
Ideally both should be written by clinicians who have been direct teachers of the applicant.
The authors are required to indicate their full name, title, place of current employment and contact details.
(phone, email)
6. Application Summary:
Personal Details (Application form, foreign language certificate as attachment if applicable)
Trainee Exchange Programme Preferences (Application form)
Important note:
All applicants applying for the TEP Fellowship should read carefully the registration and employment laws and
regulations of the host country. The TEP Committee will actively support every fellowship. However, in special
circumstances, the trainee may have to choose between having an observer status and/or selecting an alternative
host country.
Your Signature:
Zahirovic Amela
The duly completed application form and attachments must be emailed as one PDF document to:
ESA Trainee Exchange Programme Coordinator
tep@esahq.org