Welcome to the Part 1 & DLM Application Form!

Please ensure you apply for the correct examination.

This form should take approximately five minutes to complete.

Once you have submitted your application, please follow the link provided to pay the examination fee. A link to the FFLM Sales Invoice Form is provided if your employer or someone else will be paying on your behalf.

Part 1 & DLM Examination Application Form

Step 1 of 9

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Examination Regulations and Syllabus

Confirmation: Examination Regulations: Please select to confirm the following:(Required)

Confirmation: Examination Regulations

I confirm I have read the FFLM Exam Regulations, Syllabus & Guidance for the exam I am applying for.

Confirmation: Eligibility Criteria: Please select to confirm the following:(Required)

Confirmation: Eligibility Criteria

I confirm I meet the eligibility criteria specified in the FFLM Exam Regulations, Syllabus & Guidance for the exam I am applying for.

Important Information: TestReach Enrolment

Approximately 10 days prior to the examination, all candidates will receive an email from TestReach with details on how to enrol for their exam.

Failure to enrol during this time period will result in candidates not being able to sit their exam.

The cut-off date to enrol is 72 hours before the date of the exam.

Confirmation: TestReach Enrolment: Please select to confirm the following:(Required)

Confirmation: TestReach Enrolment

I understand that I am required to enrol for my online written examination with TestReach 72 hours prior to the date of the exam and that will not be able to sit the exam should I fail to enrol within the specified timeframe.

FFLM Examination

Please tell us about the examination you wish to apply for.

Examination(Required)

IMPORTANT - Please ensure you select the correct examination.

You are applying to sit the:

Diploma in Legal Medicine (DLM)

If this is the incorrect examination, please update your selection.

You are applying to sit the:

Licentiate in General Forensic Medicine (LFFLM GFM)

If this is the incorrect examination, please update your selection.

You are applying to sit the:

Licentiate in Sexual Offence Medicine (LFFLM SOM)

If this is the incorrect examination, please update your selection.

You are applying to sit the:

Membership in General Forensic Medicine (MFFLM GFM)

If this is the incorrect examination, please update your selection.

You are applying to sit the:

Membership in Sexual Offence Medicine (MFFLM SOM)

If this is the incorrect examination, please update your selection.

Exam Confirmation(Required)

Please select to confirm this is the examination you wish to sit.

I confirm I am applying for the correct examination.

This is my:(Required)

Payment

If your employer or someone else is paying your examination fee please let us know so we can locate your payment.

Kindly note that your application will only be processed once payment has been received

Who will be paying for your examination?(Required)

Other(Required)

Please provide the name of the person who will be paying for your examination/

Email(Required)

Please provide an email address of the person paying for your examination. We will only need to contact this person should there be an issue with their payment.

Employer(Required)

Please provide us with the name of your employer.

Other(Required)

Please provide the name of your employer.

Please copy and paste the link below and send to your employer's finance team for payment.

FFLM Sales Invoice Request Form

Confirmation: Payment Link(Required)

Please select to confirm you have sent the payment link to your employer / person paying for my examination.

I confirm I have emailed the payment request link to my employer / person paying for my examination..

About You

Please refrain from using all capital letters.

Name(Required)

Title First Name Last Name

Have you been known by a previous name?(Required)

E.g. Maiden name

Previous Name(s)(Required)

FFLM Membership

Are you a member of the FFLM?(Required)

E.g. Affiliate, Associate

Membership number(Required)

You can find this information on your Member Dashboard.

Email associated with your membership(Required)

IMPORTANT

All examination correspondence will be via email so please ensure you provide an email address that you check regularly.

Preferred email address(Required)

Email Confirm Email

Address(Required)

Post / ZIP Code(Required)

Country(Required)

Contact Number

Date of Birth(Required)

Day

Month

Year

Occupation

Job Title(Required)

Speciality(Required)

Profession(Required)

Other Profession(Required)

If you have selected "Other" for your profession, please type the title of your Profession here.

Professional Registration Body

E.g. GMC, GDC, NMC, HCPC

Professional Registration Number

Year Obtained

Qualification(Required)

Please provide your primary qualification. E.g. Degree (MD, MBBS etc.)

Year Conferred(Required)

Issuing University(Required)

City and Country(Required)

Reasonable Adjustments

Reasonable adjustments will be considered for written examinations where necessary to meet the needs of individuals who have a disability as defined by the Equality Act 2010.*

Reasonable adjustments, such as additional time, during your examination will be considered upon submission of a Reasonable Adjustments Request Form.

Reasonable Adjustments Request Form

Please note this form must be completed at the point of application.

We expect to be notified of any request at each examination attempt.

Applications for special arrangements on medical or compassionate grounds must be supported with a medical certificate.

*The Equality Act defines a person as having a disability if they have a physical or mental impairment that has a substantial and long-term effect on their ability to carry out normal day to day activities.

Reasonable Adjustments Requested

Equality & Diversity

The information on this page is collected for equality monitoring and is optional. The FFLM would appreciate if you could this section to help us ensure we are meeting our equality and diversity requirements.

Gender

Ethnicity

Nationality

First language

Sexual orientation

"Straight/Heterosexual" means that you're only attracted to people of the opposite sex

"Gay or Lesbian" means that you're attracted to people of the same sex.

"Bisexual" means that you're attracted to more than one sex.

"Other sexual orientation" lets you give your own answer, for example, pansexual or asexual.

Other sexual orientation

Religion

Other religion

Exam Preparation

Have you used any of the study resources below to help prepare you for your examination?

Study resources(Required)

eLearning

Face-to-face courses

Webinars

No resources used

Other

Other resources(Required)