St. Luke's Medical Center
  • Falkland Islands
  • Cook Island
  • Latvia
  • Mauritius
  • South Korea/ KOICA

Online Registration for Visa Medical Examination


Upon arrival at SLEC, applicants will still be accommodated on a first-come first-served basis. This online registration form aims to reduce registration time by having most of the applicant's information ready upon arrival at the registration area.



INSTRUCTIONS:


  1. This online registration form is for Falkland Islands, Latvia, Mauritius, and South Korea/KOICA visa applicants only.
  2. Once all fields have been filled out, Click on the 'Preview' button. The next step will display a preview of all data entered.
  3. Review data for errors. Use the form to correct them as needed, click 'Preview', to preview data to be submitted.
  4. If all data are correct, click on the 'Register' button to submit your registration.
Preferred St.Luke's Medical Center Extension Clinic Location:

Preferred Date of Medical Examination



VISA APPLICATION INFORMATION











Basic Information


  1. Family Name

    Given Name

    Middle Name


  2.  (mm/dd/yyyy format)

  3.   Male          Female





Contact Information









  1. House No./Street


    City


    Province                                Postal Code




Passport Information







  1.  (mm/dd/yyyy format)