Established since 2012 under National Accreditation Council’s Act 12 of 2004, Guyana-South America
Clinical Rotation
Student Name & Address:
Last Name
First Name
Middle / Initial
Student ID
House No.
Street
City
State/Province
Zip Code/Postal Code
Country
Tel No.
Cell No.
E-mail

In order to schedule clinical rotations, the form needs to be submitted at least six (06) weeks prior to the requested start date. Students are required to have this document completed and submitted to the Clinical Rotation Coordinator of Greenheart Medical University, School of Medicine for clearance from the Bursar & Registrar’s Departments.

Rotation (s) Requested
No. of Weeks
Start Date
Core / Elective
Additional Comments:
Have you any medical condition or learning disability that may require special attention during medical school?


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RAJIV GANDHI UNIVERSITY OF SCIENCE AND TECHNOLOGY
46-47, 3rd Street, UG Road,Cummingslodge,
East Coast Demerara Greater Georgetown, Guyana, South America.
Tele:(+592) 222 6075, 222 6076, 222 6077, 222 6078, 222 6079, 222 6080, 222 6081, 650 7981
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