Applying for entry onto the Specialist or GP Register with a Certificate of Eligibility for Specialist Registration (CESR) or GP Registration (CEGPR)

If you do not submit your application it will automatically expire six months after you last update it. An update is any change you make to your application, adding or deleting, which you then save. Instructions on setting up your online account are given at the end of this guidance.

Important information for doctors intending to work as a GP in the UK

To start work as a GP in the UK, you'll need to complete a number of processes. Some of these are handled by organisations other than the GMC.

You must read our General Practice in the UK page for information about applying to join a Performers List and Induction and Returner schemes.

These are extra requirements for you to work as a GP in the UK.

The CESR/CEGPR application process

  • Read the guidance below. It will tell you how to fill in your online application and what evidence you should submit.
  • Gather your evidence. Please refer to the specialty specific guidance to ensure that you provide relevant evidence in support of your application.
  • Get agreement from your referees that they will submit a structured report when we contact them.
  • Log in to GMC Online, complete your application and pay your fee.
  • Send your evidence to the Specialist Applications Team

If you are an EEA or Swiss national, or have EC Rights, your application may be assessed though the General System of assessment. Please read our guidance on the General System of assessment for more information.

Your specialty

CCT specialties (including General Practice)

A CCT specialty is one approved by the GMC for the award of a CCT.

The name for your specialty may not be exactly the same as the name used in the UK. If it covers the same fields as a CCT specialty then you may be eligible for this application type. You can check the fields of the CCT specialties in the CCT curricula.

Minimum requirements

To be eligible to apply you must have either:

  • a specialist qualification in the specialty you are applying in


  • at least six months continuous specialist training in the specialty you are applying in.

Evaluation standard

If you apply in a CCT specialty you must demonstrate that you meet the requirements of the CCT curriculum.

Non-CCT specialties

A non-CCT specialty is one which has not been approved by the GMC for the award of a CCT.

Minimum requirements

To be eligible to apply you must have either:

  • a specialist medical qualification from outside the UK in any non-CCT specialty


  • at least six months continuous specialist training outside the UK in any non-CCT specialty.

Evaluation standard

If you apply in a non-CCT specialty you must demonstrate that your knowledge and skills are equivalent to the standards required of a consultant in any of the UK health services.

Gathering your evidence

Before you log in and start completing your application you will need to begin gathering the evidence in support of your application.

Your evidence is crucial to your application. It must demonstrate that your training, qualifications and experience meet the assessment standards.

Specialty specific guidance (SSG)

We have put together guidance for each CCT specialty to show you the evidence that we expect you to submit for your CESR or CEGPR application. You should not submit your application until you have read this guidance and gathered the evidence listed in it.

There is an SSG for each CCT specialty, including General Practice.

Non-CCT specialties

If you are applying in a non-CCT specialty you should read the SSG for the specialty that is the closest match to yours. If there is no CCT specialty that closely matches yours, please choose the generic guidance from the bottom of the list.

Validation and authentication

Any evidence you submit must be authenticated or validated. It must also be anonymised. Read our guidance on your evidence before you proceed.

Submitting evidence that has not been correctly authenticated, validated or anonymised is the biggest cause of delays to applications. Only submit your application when your evidence meets our guidance. Evidence that does not meet our guidance will be returned to you.

Official translations

Make sure you include translations of any documents you are submitting that are not in English. See our guidance on translations for more information. This evidence must also be validated or authenticated.


You should submit an up-to-date CV in line with our guidance.

A large number of CVs are not accepted because the information in the CV does not match the other evidence supplied or is incomplete.

We recommend that you also send a copy of your CV to each of your referees who may find it helpful when completing your structured report.

Specialty details

When you are ready to complete your application, you should log in to GMC Online. There is a link at the end of this guidance.

Once you have logged in and started your application you will be asked to enter the title of your specialty.

  • If you are applying for a CEGPR you will not see this page.
  • If you are applying in a CCT specialty please choose your specialty from the list.
  • If you are applying in a non-CCT specialty please enter the title of your specialty in the box.

Next you will be asked to confirm your specialty details are correct. Once you have confirmed this information, it will not be possible to change your specialty without withdrawing the whole application and starting again. If you wish to discuss the title of your specialty, please contact us.

Evidence - qualifications

You will need to enter the details of any specialist medical qualification(s) and any other relevant qualifications you have.

Evidence of your qualifications

You should submit evidence of the qualification. If the qualification is from outside the UK, the evidence you give us must be authenticated.

If you followed a curriculum or syllabus as part of the qualification, you should give us a validated copy of this. See our guidance on submitting your evidence for how to authenticate and validate your evidence.

Listing your evidence

In the evidence section of the application, you must list each piece of evidence that you intend to submit.

This part of the application is divided up to match the specialty specific guidance that you should have already downloaded.

To list the evidence you intend to submit, click on the view/edit button to the right of the list and follow the instructions immediately below.

Adding your list of evidence

Every time you complete a page you must click save. If you do not do this, the information you have entered will not be saved, and you will have to enter it again.

You must either specify the evidence you intend to submit, or confirm that you do not intend to submit evidence, for every one of the 52 evidence items, on all 13 application pages. If you do not do this, you will not be able to submit your application.

If you want to change anything, you can go back to the relevant page and edit the details you have entered but you must do this before submitting your application. Once it has been submitted, you will not be able to go back and change it.

Evidence checklist

Once you have finished listing your evidence you can print your evidence checklist, which will include all of the evidence details you have listed.

Please use this checklist as the first page of your bundle of evidence and tick the relevant box to show that you have included each item in your bundle.

You can go back into your application and reprint your checklist as many times as you need to.

Evidence - professional experience

You will need to give full details of all the posts you have held since your primary medical qualification, starting with the most recent and working backwards.

If you have worked overseas, please do not change your overseas post title to correspond to a UK title – instead, tell us the actual title you held.

Examples of post titles include:

  • SHO
  • Registrar
  • Staff Grade
  • District Medical Officer
  • Clinical Tutor
  • Assistant Professor and Resident.

Please also give details of any periods longer than one month when you were not practising medicine. This could include:

  • alternative employment
  • clinical attachments
  • vacation
  • study leave
  • maternity leave
  • career breaks
  • unemployment.

You must also give a brief explanation for each period.

Evidence of employment

You need to provide letters of employment for each post you list.

A letter of employment is a letter from your employer, on headed paper, which gives your post title, the grade of the post and, importantly, the dates you were working in that post.

If you are not submitting the original employment letter, you should make sure the copy of the letter is validated. See our guidance on submitting your evidence.


You should give us the names and contact details of six referees.

Structured reports form an important part of the evaluation process as they are used to cross-reference the evidence from your application and verify the work, training and experience you have undertaken. They also provide detail on your personal attributes, skills and competencies.

There is more information about referees, including advice on who to nominate, in our guidance on selecting referees.

How we will contact your referees

GMC registered referees

You should give us the GMC reference number of each referee who is registered with the GMC. We will only contact them using the contact details we have on record for them.

Before you submit your application, you should ask your referee to make sure their contact details are up to date. They can change their details through their GMC Online account, or by phoning us.

We will usually contact referees by email. If your referee does not have an email address registered with us, we will contact them by post instead.

Non-GMC registered referees

If your referees have never been registered with us, please give their email address. When we receive their report we will carry out checks to verify it.

Paying the fee

Before you submit your completed application, you will be asked to pay a fee. You will not be able to submit your application without paying the fee. However, you can save your application and come back to it later if you need to.


If you withdraw your application, or we are unable to proceed with your application for any other reason, you may be entitled to a refund of part of your fee.

For information on fees and refunds, read our guidance on paying your fee.

How to organise your evidence

Preparing your documents

Once you have submitted your application online you should send us your evidence within 14 days.

Your application should be presented in a structured way so that we can assess it properly. This page is to help you sort the evidence for your application so you can send it to us in the correct format.


Download and print our divider pack (pdf) to help you sort and present your evidence. You must follow the structure of these dividers when ordering your evidence.

The size of your application

It will help us to deal with your application quicker if you make sure that you send us only evidence that is directly relevant.

Evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. As a general guide, we would usually expect to see between 800 and 1000 pages of evidence.

Presenting your evidence

When we have assessed your evidence we will scan it so it can be sent for evaluation. When you are preparing your evidence, please bear in mind that:

  • whilst the majority of your documents should be A4 in size, we can scan pages that are A3 or A5
  • double sided documents are acceptable
  • you must not bind or staple your documents in any way
  • you must not submit books or leaflets. Instead, you should submit validated photocopies of the relevant pages
  • you must not submit your evidence in folders or plastic wallets.

Before submitting your application

  • Make sure all of your documents have been validated or authenticated.
  • Make sure your documents are anonymised.
  • Make sure each page of evidence makes specific reference to you by name.
  • Where possible, avoid sending us original copies of evidence.
  • Make sure you present your evidence clearly to help your Adviser assess it.

If your evidence does not meet our guidelines it will be returned to you.

By following these steps we will be able to process your application more quickly and issue your decision sooner.

What we will do

When we receive your application

A specialist applications adviser will check that:

  • you are eligible for the application you have made
  • you have given us the names of suitable referees
  • we have received all the documents you have listed
  • all of your documents are appropriately authenticated and validated

We will let you know if anything is incorrect or if any evidence is missing, and will contact you with further advice within 30 days.

If we need any more information at this stage, you must send it to us within 60 days.

We will also contact your referees and send them a structured report form to complete. We will send a reminder if we do not get a response.

When your application is complete

Your application is deemed complete when we have received all of your evidence, including anything additional that we requested, and all of your structured reports. We will then send it for evaluation by the relevant Royal College or Faculty. We will let you know when we have done this.

The evaluation of your application

From the point we send your application to the Royal College or Faculty, it takes three months until we give you your final decision.

If you have applied in a CCT specialty you will be assessed using the current curriculum.

If you applied in a non-CCT specialty you will be evaluated against the standard expected of a consultant in any of the UK health services.

Please note that the recommendation we receive from the Royal College or Faculty is not binding on the GMC. Ultimately, the decision on whether to enter your name on the Specialist or GP Register is ours to make.

Possible outcomes of your application

A successful application will show that you have met the assessment standards in full. You will be awarded a CESR or CEGPR and your name will be entered onto the Specialist or GP Register.

If you are not successful, we will let you know why. We will give you a list of recommendations (or adaptation period if you are a general systems applicant) which will tell you what evidence was missing or the top-up training you need to complete.

See our guidance following an unsuccessful application.

Processing your application

What you can do to help us

An application for a CESR or CEGPR can take three to six months before it is 'complete' and can be sent to the Royal College or Faculty for evaluation.

This is partly because we will need structured reports from your referees - but it is also likely that we will need to ask you for more information and/or amended evidence.

You will be offered a period of 60 days to provide this additional evidence. Please let us have this as quickly as you can, so that we can work on the next steps of your application as soon as possible.

It is very important that you speak to your referees and discuss your application with them before you give us their names. Applications are sometimes delayed due to referees not responding to requests for structured reports.

Contacting us

If you do need to contact us, your specialist applications adviser will be best placed to help you.

We will let you know when major milestones in the application process have been passed – for example, we will tell you when your application is complete and being evaluated.

We strongly advise that you contact us to discuss your application before you submit it.

And finally…

It is very important that you do not submit your application prematurely. The biggest reason applications are unsuccessful is because they are incomplete; perhaps because the applicant has not submitted sufficient or appropriate evidence to demonstrate that they meet the required standards.

It is much quicker (and cheaper) to take the time to gather all the necessary evidence before you submit your application.

Applying online

Existing users

If you already have a GMC online account, you can log in and make your application in the My Registration section.

Log in here.

New users

If you have a GMC reference number, but have never logged into your online account and do not have log in details, you can activate your account here.

Activate your account.

If you do not have a GMC reference number, please click on the link below and follow the simple instructions in order to set up your account.

Set up an account (opens in a new window).