International Diploma Application Form

Before applying for admission to the next MDT Diploma Programme, please ensure you have thoroughly read and understood the following:

Preferred Clinical Diploma Venue

Please indicate your FIRST preference of Clinical Venue
Please indicate your SECOND preference of Clinical Venue

Qualifications (List relevant Degrees, Diplomas & Certificates)

Clinical Experience commencing with most recent:

Details of your attendance of the McKenzie Institute Advanced Extremities Course and Credentialling Examination:

Please attach copies of ALL of the following documents (max file size 1.5GB):

PLEASE NOTE: For your application to be accepted, all documentation as detailed above must be included with your application.