Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Application for employment

Application for: Specialty Doctor in Oral and Maxillofacial Job ref: 001-DSG880
Surgery Closing date: 25-Jan-2021
Application submitted: 25-Jan-2021 17:43 Application ID: 49931542
Applicant: Mahmoud Ibraheem Eladawy

Personal details
Answers given in this part of the form are to help the Recruitment Centre to manage your application.
If you have any difficulty completing this form please ask someone to help you.
We would like to take this opportunity to thank you for applying.
Personal details

Title Dr
Forename Mahmoud
Middle name(s) Ibraheem
Surname Eladawy
Address Tanta , 17th Althoraya street

City / town Tanta

County
Country Egypt
Postcode 31211
Email [email protected]
Work telephone 0020403540202
Mobile telephone 00201220530609
Home telephone
UK National
Insurance number
First available date Immediately
for employment

Relationships

If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship:

Rehabilitation of Offenders Act 1974 (as amended)

The Rehabilitation of Offenders Act 1974 helps rehabilitated ex-offenders back into work by allowing them not to declare criminal convictions after the rehabilitation period has elapsed
and the convictions become 'spent'. During the rehabilitation period, convictions are referred to as 'unspent' convictions and must be declared to employers.

The organisation aims to promote equality of opportunity and is committed to treating all applicants equally and fairly based on their skills, experience and ability to fulfil the duties of
the role being applied for.

Suitable applicants will not be refused positions because of criminal record information of other information declared, where it has no bearing on the role (for which you are applying)
and no risks have been identified against the duties you would be expected to perform as part of that role.

During the rehabilitation period you are required to declare current 'unspent' criminal convictions or cautions (including reprimands and final warnings).

You are not legally required to provide any information about criminal offences that have become spent. Certain criminal offences can be regarded as spent after a specified
rehabilitation period as outlined by the Rehabilitation of Offenders Act 1974.

Answering 'yes' to the question below will not necessarily bar you from appointment. This will depend on the information you provide and the position you are applying for.

Application: 49931542 [Vacancy: 2837965] Page 1 of 19

 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Do you have any UNSPENT convictions as outlined in the Rehabilitation of Offenders Act 1974?

This includes any unspent convictions that may have been issued in any other country, where it would be an equivalent offence in England and Wales.

It also includes all unspent convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces in the UK or any other
country, where it would be an equivalent offence in England and Wales.

You are not required to disclose any information in relation to convictions that have become SPENT. In these circumstances you should select NO to this question.

Please refer to further information in the 'Application form Help - criminal background' section before completing this question.

No
You have two
options on how to
disclose this
information.
You can disclose your record separately together with any statement detailing your unspent conviction or Summary
Hearing.

A member of the recruitment team will contact you and advise what steps you need to take to submit your details
separately.

Please provide details of the conviction or Summary Hearing including the date and sentence administered in the space below
Do you have any UNSPENT cautions, reprimands or final warnings as outlined in the Rehabilitation of Offenders Act 1974?

This includes any unspent cautions, reprimands or final warnings that may have been issued in any other country, where it would be an equivalent offence in England
and Wales.

It also includes all unspent cautions that have been issued under military law while serving in the Armed Forces in the UK or any other country, where it would be an
equivalent offence in England and Wales.

You are not required to disclose any information in relation to cautions, reprimands or final warnings that have become SPENT. In these circumstances you should
select NO to this question.

Please refer to further information in the 'Application form Help - criminal background' section before completing this question.

No
You have two
options on how to
disclose this
information.
You can disclose your record separately together with any statement detailing your caution, reprimand or final
warning.

A member of the recruitment team will contact you and advise what steps you need to take to submit your details
separately.

Please provide details of the cautions, reprimands or final warnings including the date and sentence administered in the space below

Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as amended)

The role you have applied for is exempt from the provisions normally afforded to individuals under the Rehabilitation of Offenders Act 1974. This means that the employer can
obtain a standard or enhanced disclosure through the Disclosure and Barring Service (DBS) under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as
amended) and, in certain circumstances, the Police Act 1997.

Enhanced disclosures may include other relevant non-conviction information held on police databases, at the discretion of the police or Chief Constable of the relevant police
force.

Before you complete this form, it is important for you to read the highlighted note in the section below.

If you have a criminal record and are unsure about what might be revealed about you as part of a DBS check, or the type of information you should consider declaring when
completing this form, the following links to guidance will help provide more clarity:

The simple guide to filtering (Unlock) at: http://hub.unlock.org.uk/knowledgebase/filtering-simple-guide/

Practical guidance on the DBS filtering rules (NACRO) at: http://www.nacro.org.uk/resettlement-advice-service/support-for-individuals/

Do you have any convictions that are not protected (i.e. eligible for filtering) as outlined in the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (as
amended) (the Exceptions Order)?

It also includes all convictions or Summary Hearings that have been issued under military law while serving in the Armed Forces, either in the UK or any other country,
where the equivalent offence in England and Wales is not protected.

You are not required to disclose any information in relation to the above if ALL convictions are protected (i.e. eligible for filtering) as outlined in the Exceptions Order. In
these circumstances you should select NO to this question.

This requirement is regardless as to whether any conviction is spent or remains unspent.

Please refer to further information in the 'Application form Help - criminal background' section before completing this question.

No
You have two
options on how to
disclose this
information.
Please provide details of the conviction or Summary Hearing including the date and sentence administered in the space below.
You can disclose your record separately together with any statement detailing your unspent
conviction or Summary Hearing. A member of the recruitment team will contact you and advise
what steps you need to take to submit your details separately.

Page 2 of 19 Application: 49931542 [Vacancy: 2837965]

Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Do you have any cautions, reprimands or final warnings that are not protected (i.e. eligible for filtering) as outlined in the Rehabilitation of Offenders Act 1974
(Exceptions) Order 1975 (as amended) (the Exceptions Order)?

It also includes all cautions, reprimands or final warnings that have been issued under military law while serving in the Armed Forces, either in the UK or any other
country, where the equivalent offence in England and Wales is not protected.

You are not required to disclose any information in relation to the above if ALL convictions are protected (i.e. eligible for filtering) as outlined in the Exceptions Order. In
these circumstances you should select NO to this question.

This requirement is regardless as to whether any caution, reprimand or final warning is spent or remains unspent.

No
You have two
options on how to
disclose this
information.
Please provide details of the caution, reprimand or final warning, including the date and reason administered in the space below
You can disclose your record separately together with any statement detailing your unspent
conviction or Summary Hearing. A member of the recruitment team will contact you and advise
what steps you need to take to submit your details separately

Internal/external and immigration

Before being given access to the online application form, the applicant was asked the following.

Are you currently an employee of Cardiff and Vale University Health Board ?
No
Choose your immigration status
No current visa or right to work in the UK. Will require sponsorship for a Tier 2 visa before applying for Entry Clearance
Please supply details of any permit currently held including number, validity and expiry date

Application: 49931542 [Vacancy: 2837965] Page 3 of 19

 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Application for: Specialty Doctor in Oral and Maxillofacial Job ref: 001-DSG880
Surgery Closing date: 25-Jan-2021
Application submitted: 25-Jan-2021 17:43 Application ID: 49931542
Applicant: Mahmoud Ibraheem Eladawy

Application questions
Details entered in this part of the form will be made available to the shortlisting panel. Please make sure that you have read the job description and person specification before
completing the application form, and ensure that your answers clearly and honestly demonstrate how your skills and experience are relevant to the post for which you are applying.
Education & Professional Qualifications

Please list your qualifications from University onwards in date order (up to 11 with most recent first). Please also indicate subjects currently being studied
and the expected year of qualification. In the grade/result column for courses not yet completed, please state 'in progress'. All information disclosed on
this application will be subject to verification.

Subject/Qualification Place of study Grade/Result Year obtained

BDS Tanta university good 2009

MJDF Rcseng pass 2014

MFD Rcsi pass 2016

ORE GDC pass 2019

Relevant Training Courses Attended

Please list clinical, management and leadership, research, teaching, professional etc courses you have attended over the past 3 years, in date order (up
to 7 with most recent first). Please include courses in progress or approved for attendance in the near future and the expected date of completion. If you
have completed a professional course which you believe to be relevant to this post, which falls outside the 3 year limit, please include it. All information
disclosed on this application will be subject to verification.

Course title Training provider Duration Year completed

oral and maxillofacial surgery training program MUST university three years 2015

speciality doctor oral and maxillofacial surgery Benha university five years 2014 : 2019

basic and advanced implant Tanta university four months 2013

clinical attachment in oral and maxillofacial surgery Luton and dunstable hospital , UK two weeks 2018

Membership of Professional Bodies

Please provide details regarding any relevant professional registrations or memberships. This information will be subject to a satisfactory check.

Please indicate your professional registration status

I have current UK professional registration relevant for this post
Professional body
General Dental Council ~ Registered
If other please provide details below
Membership / Registration number
287238
Expiry / renewal date
03/01/22

Page 4 of 19 Application: 49931542 [Vacancy: 2837965]

Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Fitness to Practise

Are you currently subject to a fitness to practise investigation and/or proceedings of any nature by a regulatory or licensing body which may
have a bearing on your suitability for the position you are applying for?

This may include any fitness to practise investigation and/or proceedings of any nature that are being undertaken by a regulatory or licensing
body in any other country.
No
If you have answered YES above, please provide the reasons given for the investigation and (where applicable) the details of any warnings,
conditions or sanctions (including limitations, suspension or any other restrictions) that apply to your professional registration and, the name
and address of the regulatory or licensing body concerned.
Have you ever been removed from the register, or have conditions or sanctions been placed on your registration, or have you been issued
with a warning by a regulatory or licensing body in the UK or in any other country?

You are not required to disclose any information in relation to the above where any right to appeal has been upheld and where that appeal has
resulted in your case being fully exonerated. In these circumstances you should select NO to this question.
No
If you have answered YES above, please provide details of any conditions or sanctions (including limitations, suspension or any other
restrictions) that apply to your registration and/or any warnings issued, where relevant, and the name and address of the regulatory or
licensing body concerned.
In your current or any previous employment, have you had restrictions placed on your clinical practice as part of the revalidation process?
No
If applicable, please provide details of any restrictions you may have.

NHS Service

Please confirm what

you believe to be
your effective start
date of continuous
NHS service (if
applicable).
Months since most
recent employment
ended (if applicable)

Employer/activity history

Please record below full details of all your continuous employment history, beginning with your current or most recent employer and working backwards chronologically. If there are
any gaps in your employment please ensure a full explanation is given at end of the ‘Employment History’ section.

IMPORTANT: If you are currently working within an NHS organisation but through an agency, please ensure you name the agency as your employer and not the NHS organisation
you are currently contracted to.

Employer name Benha university hospital

Employer address Benha-Egypt
Type of business specialisty doctor
Name of Mohammed Alsayed Hassan
educational or
clinical supervisor
Reporting to (job Consultant
title)
Email [email protected]
Telephone 00201001930710
Your job title specialisty doctor oral and maxillofacial surgery
Start date January 2015
End date July 2019
Grade
Salary
Specialty
Sub specialty (if
applicable)
Hospital/Base
Contract type Other

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 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Please provide I was elicited by my supervisor to launch a new oral and maxillofacial unit - inside the ENT
details below: department , Benha University hospital.
I was one of the co-founder of the unit.
The unit had both types of patients :
1) exempt : they don't pay for the service" as it's educational hospital .
2) have to pay as a private work .
I had a percentage for those with the private service.
I loved the job as it had clinical , managerial , higher training and development part .
It had a charity and voluntary element, which I liked as well.
Contract duration
(months)
Reason for leaving I needed more time to clear the ORE .
(if applicable) the qualifying exam for UK to have a full GDC registration .
Brief description of I had may responsibilities :
your duties & 1) out patient clinic : seeing patients in two clinic every week .
responsibilities 2) minor oral surgeries : being a dentist inside the ENT department , I had the duty of
managing all dental concern and minor oral surgeries, as all other staff are medical
practitioners and don't have the scope of oral surgery , I had went through " difficult
extractions , biopsies , wisdom tooth removal , Apicectomy , arch bar , splinting ,
impressions.
3) operating list management
4) operating theatre : the vast majority of cases were trauma and oncology ,the operating
theatre is located inside ENT department
5) post operative care
6) arrangement for conferences, scientific days and events relevant to the our unit.
7) assistant in research work in side the department.
8) review the purchases and the supplied materials and reporting tp the boss
9) audit and quality control relevant to the agreed protocols , take actions if necessary .

Employer name MUST university

Employer address 6th of October - Egypt
Type of business Education and training
Name of Hatem Almekawy
educational or
clinical supervisor
Reporting to (job consultant
title)
Email
Telephone 00201002412875
Your job title SHO
Start date October 2012
End date January 2015
Grade house officer , senior house officer
Salary
Specialty oral and maxillofacial surgery
Sub specialty (if
applicable)
Hospital/Base MUST university hospital
Contract type Other
Please provide It was a part of the training program of oral and maxillofacial surgery, entities to enter the
details below: speciality exam of oral and maxillofacial surgery. The MOMS .
we had to pay to join and become enrolled in this training program.
Contract duration
(months)
Reason for leaving moving to the higher grade position in Benha university .
(if applicable)
Brief description of It was the first move to the surgery with a great team.
your duties & we had the training program of :
responsibilities 1) Two out patient clinic a week , where I was exposed to a variety of cases in the surgery ,
both minor and major .
2) management of In-patients in ward.
3) arrangement of the operating list .
4) two operating theater lists every week .
5) management of post operative patients .
6) one / two night shifts a week .
7) offering the emergency care for oral and maxillofacial surgery .
8) preparing lectures , presentations in teaching days .

Page 6 of 19 Application: 49931542 [Vacancy: 2837965]

Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Employer name Easyway to pass exams education center

Employer address Alobur building - Cairo - Egypt
Type of business private
Name of Ahmed Saed
educational or
clinical supervisor
Reporting to (job lectuere and tutor
title)
Email [email protected]
Telephone 00201064003335
Your job title lectuter and tutor
Start date April 2015
End date July 2020
Grade tutor and co-founder
Salary
Specialty teaching
Sub specialty (if
applicable)
Hospital/Base
Contract type Other
Please provide I was the co-founder , branch manager and tutor of a private educational center , offering a
details below: post graduate dental training . Mainly was for the membership and qualifying exams .
Contract duration
(months)
Reason for leaving planning to move to the UK.
(if applicable) the need for establishing a new platform , entirely online , to suffice the new input in my life "
moving to the UK , and not being in Egypt for the upcoming time "
Brief description of I offer teaching, coaching and training for candidates aiming to pass international dental and
your duties & board exams .
responsibilities Over almost five years , we have trained more than 3000 dental candidate to pass
international exams eg. MJDF , MFDS , MFD , NBDE , NDBE , MOH Dubai exams ,
prometric KSA exam and Australian board . My lectures are mainly on oral and Maxillofacial
surgery prospect eg: surgery , Oral Medicine & pathology , general medicine , ethics and
evidence based dentistry .
-Practical training includes , actor and skilled OSCE tasks , eg. suturing , CPR , BLS , cranial
nerve assessment "
Lectures were conducted both in Arabic and English.
being in charge and coaching as well makes you updated with all recent guidelines and
develop a good skills in communication and problem solving .
it enhances the team working potentials as well .

Employer name Mahmoud Eladawy dental practice

Employer address Tanta , Egypt
Type of business private
Name of
educational or
clinical supervisor
Reporting to (job
title)
Email
Telephone
Your job title General dental practitioner
Start date
End date
Grade
Salary
Specialty
Sub specialty (if
applicable)
Hospital/Base
Contract type Other
Please provide I had launched my own I private dental practice in 2013.
details below:
Contract duration
(months)

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 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Reason for leaving

(if applicable)
Brief description of I had my private dental practice opened in 2013.
your duties & It's a small dental practice with only one dental chair .
responsibilities I had two colleges covering my absence days hospitals and night shifts .
I do the ordinary work of general dental practitioner , and receive referrals for the surgical
cases from colleges and the other dentist near by .
Having your own private small business , letting you carry the burden of most managerial
staff , development and recruitment as well .

Gaps in Employment

Please provide in this section explanations for any gaps in your employment history (chronologically, most recent first). For any gaps in
employment of 6 months or more over the past 5 years, please include contact details of your professional mentor or educational supervisor,
who can verify the reason for the gap and if necessary provide you with an appropriate reference for the period not worked.
I had no gabs in employment , being a business owner makes no gabs at all .
Additionally I believe in multitasking , working in multiple project in the same time increases the productivity ,so I always had some thingtovdo, or a
skill to be learnt .

Supporting Information

Elements of this section may not apply to you or the post for which you are applying. Please be reassured that your application will only be measured against the essential and
desirable criteria set down in the published person specification. If you have nothing to insert in a specific (specialist) section, please select 'not applicable' and the detail of that section
will be hidden on the form.

Declaration of Practical Experience

Please list your practical experience that is relevant to the post applied for up to a maximum of 8. This should refer to verifiable Log Book/Portfolio Evidence which will need to be
presented by all appointed candidates. Please list the most recent first.

Number of recorded procedures or interventions completed:

Practical experience Under senior supervision Independently

extractions 20 cases +1000.....

out patient clinics + 300 + 1000.....

Minor oral surgery 50 + 200

operating theatre +150 +40

teaching more than 2000 hour

Please briefly describe the extent of your proficiency and experience in the procedures highlighted above, along with any particular clinical
skills/experience/special interests you possess that you may wish to highlight.
-For my skills ,am doing teaching sessions two /three times a week . the main core subjects are surgery , medicine , max-fax and general dentistry .
-Have my own private dental practice for general dental work with special emphasis on surgical workflow "minor surgeries , implant " -have two GA
operation list per week in Benha university hospital , working both under supervision and independent
In the context of this post, in reflecting on your own skills and abilities, are there any areas where you might seek further development and
support?
yes ,
I would like to develop myself more in :
1) audit
2) research
3) have a UK surgical experience
4) have a high certificate in teaching
Teaching
If applicable, please briefly describe both formal and informal teaching you may have undertaken, the main topics taught, your audience (numbers and composition) and which
teaching methods you have used. If you have attended formal training or courses on teaching, please identify them here, and include any feedback you may have received about
your teaching skills.

Do you have any Yes

relevant formal and
informal teaching
experience?
Please provide details about your teaching experience
I have almost six years experience in teaching ,
Teaching privately and coaching candidates to exams " the membership exams MFDS/MJDF/MFD", is very challenging and funny as well . you have
to answer all their questions in all Times , and you should live their own moments during preparation, it's stressful but funny , I liked it .
This had a great impact over my own teaching skill , trying to simplify everything , and thinking about the best way to deliver the information
automatically boost your research abilities , planning and keeps you up to date .
I was lucky enough to have a good success in this career , it's really rewarding , and gives you a very good reputation . I have a contact list of more
than 5000 dentist in and out my country .

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Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Do you hold any particular qualifications in teaching?

I don't have a formal qualification in teaching, but this is one of my great development areas I want to invest more in .
it was a self learning skill , I attended many induction and preparatory courses in different occasions.
I attended presentation skills courses .
Management of Change
If applicable, please briefly describe changes (including audits and quality improvement projects) you may have personally undertaken over the past 5 years and wish to highlight.
Include the aim and outcome, whether you led the change independently or worked under the supervision of a senior. Please list the most recent first up to a maximum of 5.

Do you wish to Yes

highlight any
changes you've
personally
implemented in the
past 5 years?

Description of Morbidity and mortality meeting

change
Date
Aim & measure of to monitor our errors
the change
Conclusions/Actions we had never discussed any of these topics , after attending two weeks training in L&D
hospital I found this measure very healthy and objective . I introduced the same makeover
in benha hospital.

Description of planning for the educational program for the MFDS/MJDf/MFD exams
change
Date
Aim & measure of updating and renewing the needs for the exams and candidates
the change
Conclusions/Actions exams and regulations are changing rapidly , you need to update your content and plan
how will you present it in every batch .
so we hold an audit every months to discuss all aspects in the work flow " management ,
finance , content , development "

Of the change/audits/projects you have undertaken, which has been of most value, and why?
I can't think of something more valuable than being a co-founder of the oral and maxillofacial unit in BENHA university hospital .
with a very limited fund and support as well , we created the unit with all its details from nothing, we used donations , charity and even sometimes we
payed from our pockets to keep things run .
we helped very poor people to get the health and care service they need.
we developed and learned a lot as well .
Describe the impact of a change initiated by you on wider members of your team.
it's was like a family on target , and the best team work ever .
Research
If applicable, briefly describe any research projects you have undertaken over the past 5 years, the research aim and outcome, whether you initiated and led the research
independently or worked under the supervision of a senior. Please list the most recent first up to a maximum of 5.

Do you wish to Yes

provide details of any
research undertaken
in the last 5 years?

Project title case report

Date
Aim of research platelet rich fibrinogen Ito enhance normal bone healing
Conclusions/Actions rapid bone generation was evident in cases used PRF

Project title case series

Date
Aim of research mix corticosteroids and bisphosphonates for management of cases with central giant cell
granuloma
Conclusions/Actions more rapid pattern of bone deposition in cases treated with the mix

Project title case report

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 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Date
Aim of research using anterior sinus wall for management of blow out fracture
Conclusions/Actions using anterior sinus wall as afraft for repair of blow out orbital floor fracture has shown
results compared to using of mesh and split rib

Please summarise your main learning point from an effective audit/quality improvement project you have undertaken.
exploring more in depth knowledge in research work .
case documentation and presentation
meticulous follow up with the appropriate investigation tool
Do you hold any particular qualifications in research?
till now no , however am planning to invest more in these areas.
this comes in the priority of my personal development plan
Publications in Peer Reviewed Journals
If you wish, please list up to 6 of your publications in peer reviewed journals. Please list the most recent first.

Do you wish to No
provide details of any
publications in peer
reviewed journals?

Presentations
If you wish, please give details of up to 6 presentations you have made. Please list the most recent first.

Do you wish to Yes

provide details of any
presentations you
have made?

Title blow out fracture

Type National
Year presented 2016

Title anatomy of the head and neck : applied & surgical

Type National
Year presented 2016

Title emergencies in dental setting

Type National
Year presented 2018

Title evidence based dentistry

Type National
Year presented 2018

Title Law and ethics for general dental practitioners

Type National
Year presented 2019

Title radiographic interprétation

Type National
Year presented 2019

Prizes or Other Academic Distinctions

If you wish, please give details of up to 6 prizes or other academic distinctions you have received. Please list the most recent first.

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Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Do you wish to No
provide details of any
prizes or other
academic
distinctions you have
received?

Management and Leadership Experience

Please highlight experience you may have which is relevant to this post, not necessarily limited to professional activities.
Team Working

Describe situations where you have been involved in working in a team, not necessarily limited to professional activities.
working with a team is a must for our daily work , starting from surgical route and duties .
in the education center as a team , we had to share roles and work together effectively to achieve our mission and satisfy our candidates as well .
Supporting information
In this section you need to demonstrate that you have read the published person specification and how you meet the essential and (where relevant) desirable criteria for this
particular post, if this has not been fully covered in the previous sections.

Please include your reasons for applying and take the opportunity to highlight your particular talents and strengths, (what you feel you can personally offer - what is
unique to you - what sets you apart from your peers).

Please DO NOT include personal details or duplicate information already provided elsewhere in your application.

Preferred Full time

employment type

Welsh language

Can you speak and No

understand spoken
Welsh?
Please select the
level that best fits
your ability to speak
and understand
spoken Welsh:
Can you read Welsh? No
Please select the
level that best fits
your ability to read
Welsh:
Can you write in No
Welsh?
Please select the
level that best fits
your ability to write
in Welsh:

Further questions

The questions in this section are customised to the post for which you are applying.

Have you had an IMER update in the past 5 years?

No

Application: 49931542 [Vacancy: 2837965] Page 11 of 19

 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Application for: Specialty Doctor in Oral and Maxillofacial Job ref: 001-DSG880
Surgery Closing date: 25-Jan-2021
Application submitted: 25-Jan-2021 17:43 Application ID: 49931542
Applicant: Mahmoud Ibraheem Eladawy

References
References

If you are successful, prior to appointment, we will take up as many references as needed to cover all activities, including periods of employment and full time education,
that you have undertaken over the past three years. Any offer will be subject to these being satisfactory. Please ensure that you provide full contact details for your Employer/Line
Managers or Course Tutors for each activity. Please include their work email address where possible to avoid any unnecessary delays.

If during the last three years you have any periods in which you have not been in either employment or full-time education please provide details of someone who can provide a
character reference for you to cover this period. Character references should be provided by a person of standing in the community such as a Teacher, Health Care Professional (i.e.
Doctor, Physiotherapist, Registered Nurse), Minister of Religion, Police Officer or Solicitor. Character references should only be used in EXCEPTIONAL circumstances to cover
periods of time when you have not been in either employment or education.

Please use the "Add another" button below to add as many referees as required to meet the above requirements. Periods that referees cover may overlap but there should
not be any gaps over the past three years.

Referee's title Mr
Referee's first Mohammed
name(s)
Referee's surname Hassan
Referee's
organisation name
Job title Consultant
How do they know Employer / Line Manager
you?
Address 1 Cairo
Address 2
Address 3
City / Town 6th of October
County / State
Postcode 533321
Country Egypt
Telephone no.
Mobile no.
Email address [email protected]
Can the referee be Yes
approached prior
to the interview?
Period this October 2012
reference covers
from:
Period this November 2020
reference covers
to:
What name will the
referee know you
by if different from
your current
name?
Why has your
name changed?

Referee's title Mr
Referee's first Sameh
name(s)
Referee's surname Zaki
Referee's NHS
organisation name
Job title Consultant

Page 12 of 19 Application: 49931542 [Vacancy: 2837965]

Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

How do they know Personal / Character Reference

you?
Address 1 24 St. James's Square
Address 2
Address 3
City / Town London
County / State
Postcode SW1Y 4JH
Country United Kingdom
Telephone no.
Mobile no. 07943109130
Email address [email protected]
Can the referee be Yes
approached prior
to the interview?
Period this October 2013
reference covers
from:
Period this December 2020
reference covers
to:
What name will the
referee know you
by if different from
your current
name?
Why has your
name changed?

Application: 49931542 [Vacancy: 2837965] Page 13 of 19

 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Application for: Specialty Doctor in Oral and Maxillofacial Job ref: 001-DSG880
Surgery Closing date: 25-Jan-2021
Application submitted: 25-Jan-2021 17:43 Application ID: 49931542
Applicant: Mahmoud Ibraheem Eladawy

Equal opportunities
Equal opportunities

NHS organisations recognise the benefits of having a diverse workforce and therefore welcome applications from all sections of the community. In addition to this, under the
provisions of the Equality Act 2010, all NHS organisations are required to demonstrate that their recruitment processes are fair and that they are not discriminating against or
disadvantaging anyone because of their age, disability, gender reassignment status, marriage or civil partnership status, pregnancy or maternity, race, religion or belief, sex or
sexual orientation. Therefore a series of questions need to be raised in order to ascertain who is applying for each position and to ensure that no one is being unfairly
discriminated against or disadvantaged.

This section of the application form will be detached from your application form and will not be used as part of the selection process nor will it be seen by anybody who is
interviewing you. The information collected is only used for monitoring purposes in an anonymised format to assist the organisation in analysing the profile and make up of
individuals who apply, are shortlisted for and appointed to each vacancy. In this way, they can check that they are complying with the Equality Act 2010.

The Equality Act 2010 protects people against discrimination on the grounds of:

• their age and sex.

• their race which includes colour, nationality, ethnic or national origin.
• their religion or belief, including a lack of any belief.
• their sexual orientation, be it bisexual, gay, heterosexual and lesbian.

The Equality Act 2010 also protects people who are married or in a civil partnership.

Equality and Diversity Monitoring

Please state your date of birth

01/05/87
Please indicate your gender
Male
Please indicate the option which best describes your marital status:
Married
Please indicate your ethnic origin
WHITE - Any other white background
Which of the following options best describes how you think of yourself?
Heterosexual or Straight
Please indicate your religion or belief
Islam

Disability

The Equality Act 2010 protects disabled people - including those with long term health conditions, learning disabilities and so called "hidden" disabilities
such as dyslexia. If you tell us that you have a disability we can make reasonable adjustments to ensure that any selection processes - including the
interview - are fair and equitable.

According to the definition of disability do you consider yourself to have a disability?

No
Please identify the category which applies to you or other type of disability. People may experience more than one type of impairment, in
which case you may indicate more than one. If none of the categories apply, please mark 'Other'.
If you have a disability, do you wish to be considered under the Guaranteed Interview Scheme if you meet the minimum criteria as specified in
the Personal Specification?
No

Reasonable adjustments will be made available should you be invited to interview.

How did you learn of this vacancy?

Please state where you first saw this post advertised

jobs.ac.uk web-site

Declaration

The information in this application form is true and complete. I agree that any deliberate omission, falsification or misrepresentation in the application form will be grounds for rejecting
this application or subsequent dismissal if employed by the organisation. Where applicable, I consent that the organisation can seek clarification regarding professional registration
details.

I agree to the above declaration Yes

Page 14 of 19 Application: 49931542 [Vacancy: 2837965]

Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Next Steps
Once you submit the form your application will be available to the Employer. However, you will be able to update your "Personal Information" should any of your contact details
change.

All your application forms (submitted or not) can be viewed under "My Applications" when you are logged in.

Privacy notice

Application for: Specialty Doctor in Oral and Job ref: 001-DSG880

Maxillofacial Surgery Closing date: 25-Jan-2021
Application submitted: 25-Jan-2021 17:43 Application ID: 49931542
Applicant: Mahmoud Ibraheem Eladawy

Privacy notice
This privacy notice is about how your personally identifiable information will be managed from job application through to starting work. The information
is needed to help recruit the best people, perform the necessary employment checks, arrange a contract of employment, get new recruits started in
their work and fulfil legal/regulatory requirements. These are necessary steps prior to being able to establish, continue or vary a contract of
employment.

In some special cases your information may have been entered without your having completed a job application. For example, where students are
being placed from a training provider (and your information has been received from that training provider) or where employment checks need to be
carried out on existing staff.

During recruitment, the recruiters consider the information provided on the job application form and that provided for assessments and interviews.

As you get further through the process, employment checks may need to be performed such as identity, right-to-work (immigration), criminal records,
professional registration, qualifications, references, occupational health and other checks. More information or documentation, such as proof of identity
documents, may be needed from you. Only the necessary information is shared with organisations where they assist us with these checks and it is
only for the purpose of performing those checks.

To get a new recruit started in their work, induction training and some administrative requirements are completed. Some information will be requested
from you at that time, such as bank details for your salary payments and emergency contact details in case you have an emergency at work. The
information for those who have been recruited is entered into the employee management and records keeping systems that are used by the employer.

If you do not provide information as needed, this may hinder or prevent your application or employment.

Any information you provide about your ethnic origin, religious beliefs and sexual orientation is used only for equal opportunities statistical monitoring
of the recruitment process and workforce. It is protected throughout the process, is not visible to those assessing your application or to hiring
managers, and cannot be used in a way which can identify you. It will not affect your application if you choose to not provide this information.

If you indicate that you can be considered for a preferential or guaranteed interview owing to a disability you have, that information is used only for the
purposes of arranging interviews.

If you decide that you wish to leave a job application process, you can login to your applicant account then withdraw your application. For special
cases (examples above) you should instead contact the employer.

Your information about your application through to starting work is automatically deleted from this recruitment management system once it is no longer
regarded as necessary for the purpose for which it was collected. This is 399 days after the date the application was entered in this recruitment system
or 199 days after your proposed/actual start date, whichever is the greater. This period allows obligations relating to lawful employment practices to be
fulfilled such as statistical reporting and the defending of potential legal claims.

The data controller for this information is Cardiff and Vale University Health Board. This application tracking system is provided by Civica UK Ltd
(https://www.civica.com/en-gb/product-pages/trac/) as a data processor. Civica provide some recruitment support services and have staff and secure
data storage located entirely in the UK.

NHS Wales Shared Services Partnership (NWSSP)

Recruitment Services
Privacy Notice

1. Introduction

NHS Wales is made up of several health organisations that include the NHS Wales Shared Services Partnership (NWSSP). They provide many
services on an All Wales basis. This includes Recruitment.

If you have any questions regarding this information you must contact the Recruitment Services Department on 02920 905353 or email

South East Wales – [email protected]

South West Wales – [email protected]
North Wales – [email protected]

This leaflet has been issued by the Information Governance function within NWSSP to assist and facilitate the Recruitment process within NHS Wales.

2. Your rights

This leaflet covers your rights under a new law called the General Data Protection Regulation (GDPR). It emphasises the NWSSP’s need to make sure
that we explain how we use your information during the recruitment process.

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 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

The information we give you about our use of your information will be:

• Brief, easy to read and easily accessible;

• Written in clear, plain language; and
• Free of charge.

3. What laws do we use?

The law determines how we can use your information. The laws we follow that allow us to use your information are listed below:

• General Data Protection Regulation

• UK Data Protection Bill
• Human Rights Act
• Freedom of Information Act
• Common Law Duty of Confidence - Confidentiality
• Computer Misuse Act
• Audit Commission Act
• Regulation of Investigatory Powers Act

The NHS Wales Shared Services Partnership Recruitment Services directorate that administer the processes that involve Recruitment for NHS Wales,
is the holder and user of your information.

4. What types of personal information do we use for recruitment?

The information listed below, that you provide as part of your application form, will be used for Recruitment purposes. These include:

• Contact names, addresses, telephone numbers, date of birth;

• Personal information that includes gender, race, ethnicity, sexual orientation, religious beliefs (where you have provided this information);
• Medical information including physical health or condition (if provided);
• Employment history;
• References;
• Qualifications;
• Passport / Driving License information;
• Work permits (where applicable);
• Criminal record history (where applicable).

By submitting your application to NHS Jobs/Trac, you are giving your consent for elements of your application data to be transferred to the NHS
Electronic Staff Record (ESR) and other secure, internal NHS Workforce systems in order to support and manage your recruitment and employment
within your employing organisation; to be used by Recruitment for purposes of checking your Professional Registration online (where applicable).

These processes are in line with Fair and Lawful processing in line with current Data Protection Legislation especially those in relation to your personal
or sensitive personal data (sensitive personal data is defined as any declared physical or mental health conditions, racial or ethnic origin, sexual
orientation, trade union membership, political opinion, religious beliefs). As an organisation, we ensure that the legislation defining confidentiality is
observed such as use of data for specific, defined purposes, and use of data that is relevant and not excessive whilst practicing data accuracy and
security of all held personal identifiable information (PII)

If you are successfully appointed, by completing the application form you authorise the organisation to obtain any previous NHS service details
including all electronically held sickness information, via the Inter Authority Transfer process on the national Electronic Staff Record (ESR).

We also collect documentation as evidence as part of our mandatory pre-employment checks, this includes items such as:

• Passport information;
• Driving licence information;
• Utility bills;
• Right to work information.

The NWSSP also runs regular reports on performance and activity by NHS Wales Health Boards. Anonymous information is also provided for equal
opportunities analysis.

By providing your information, you are consenting to NWSSP contacting you to obtain feedback on your experiences of the recruitment journey.

5. What is the purpose of processing information?

As an applicant for a job within NHS Wales, we will only use your information for Recruitment purposes and to conduct pre-employment checks for
Safe Recruitment, and to reuse those checks for speedy recruitment and to save costs should you apply for a job within NHS Wales in the future.

Where we ask for your consent (permission), any refusal may result in withdrawal of the post offer due to various standards and the legislation that
NHS Wales must adhere to at all times.

We will also use your information without permission only where it is justified by law. These may include allegations of fraud, where an applicant has
lied on their application form or where someone has provided false documentation or qualifications.

6. Sharing your information

There are reasons why we share information for recruitment purposes.

This is normally for the application/recruitment process that includes:

• Administration of the NHS Jobs/Trac/Capita/Electronic Staff Record (ESR) and Cohort Occupational Health systems;
• Shortlisting potential applicants;
• Interviewing all shortlisted applicants;
• Performing Pre-Employment Checks (PEC checks); and

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Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

• Appointing successful applicants to the role applied for.

Under the law, your information is shared only with those recruiting managers that are responsible for the recruitment process to a vacant post within
their department. This is so that only the appropriate people work together to recruit staff for the benefit of you and the NHS.

It is important to note that anyone receiving information about you is under a legal duty to keep it confidential.

We only request, use and share the minimum information necessary.

We will never sell your information and we will not share it without the appropriate legal authority.

7. Security of your Information

The NWSSP takes responsibility to look after your personal information very seriously. This is regardless of whether it is electronic or in paper form.

We also employ someone who is responsible for managing information and its confidentiality to ensure:

• Your information is protected; and

• Inform you how it will be used.

All staff are required to undertake training on a regular basis. Comprehensive training is required to help protect the information that has been given to
the NWSSP. The training makes sure that all staff working in the NHS are aware of their responsibilities about the handling of your information
regardless of the department that they work in.

8. What are you entitled to?

The NWSSP will make sure that you are able to have access to your information. This is so that you know what we hold.

You have the right:

• To know about details of how your information is used; and

• Have copies of your information.

If you want to know more please contact the NWSSP Information Governance Manager for further information about your rights of access.

The NWSSP tries to answer all requests for access to information as quickly as possible. The organisation is obliged to provide a response to your
request within a month of receiving it, but this can be extended if the request is complex and extensive.

These rights relate only to your own information. You can request to see another person’s information, if one of the following applies:

• Parent/legal guardian of a child too young to exercise own legal rights

• Where someone (with mental capacity) has authorised the individual to operate on their behalf
• Under the terms of the Mental Capacity Act

The NWSSP will look at your request to make sure that the information requested is personal information. Most of the time, it will be clear that the
information is personal but the NWSSP will contact you if it is not clear.

Do I have to pay a fee?

In most cases, the information will be provided free.

However, we could ask for a small fee. This is where the request is large or repeated.

This will be based on the cost of providing it. If you wish to find out more about fees for information, then please contact the NWSSP Information
Governance Manager.

How will information be provided?

The information will be provided in a format that can be used on another system easily if it is electronic (i.e. Microsoft Word or Excel). Otherwise, it will
be supplied on paper.

9. Permission (consent)

For the use of your personal information to be lawful, the NWSSP may ask for permission from you. This is not necessary if the use is for a lawful
basis under current regulation such as for Recruitment purposes.

Any permission (consent) that is collected from you should have been given freely and you have not been pressured to do so. This should have been
done clearly and you are aware of what the use of your information means.

Informing you and obtaining your consent

If your permission is asked for, you will be provided with information regarding this by use of this Privacy Notice. This will explain what you are being
asked to give permission for. The NWSSP will have to prove that it gave you information and that you were fully aware of what you were giving
permission for.

If permission is requested, you could provide this in several ways that include by writing, ticking a box on a web page, by choosing options in a mobile
phone app, or by any other action that shows your acceptance of the use of your information.

10. What about stopping use?

Application: 49931542 [Vacancy: 2837965] Page 17 of 19

 Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

When a request for stopping use is received, the NWSSP will still store information but will not use it anymore.

Any changes that include the stopping of the use of your information will be told to you at the time.

However, any withdrawn or unsuccessful job applications or applications that did not complete pre-employment checks will be retained for 13 months
and destroyed after this time.

11. Automated decision taking

The NWSSP also provides safeguards against risks that involve processes that include automated decision-making.

This applies to you when:

• It is an automatic process; and

• There is a legal effect on decision made with your information.

The Recruitment Services department may take a small number of automated decisions with your information but there is mostly some human
involvement in this.

However, the NWSSP will take steps to identify how many automated decisions it makes and whether these are acceptable.

The NWSSP will ensure that any automated profiling is fair and lawful. The NWSSP will use correct procedures, to include reducing errors and where
data is not accurate.

Successful applicants

If your application is successful, your data is downloaded into the Electronic Staff Record (ESR) system.

The ESR system also interfaces with other systems such as the Nursing and Midwifery Council (NMC) Register and the Disclosure and Barring
Service (DBS) Update Service and the Cohort Occupational Health System.

12. What about rights to correct or delete inaccurate information?

You are entitled to request that the NWSSP correct any mistakes in your information.

The NWSSP must ensure that proven inaccurate or incomplete information is either erased or corrected.

Keeping your information

We will only store information for as long as necessary. Records are stored in line with Records Management Code of Practice for Health & Social
Care’s retention and disposal schedule. This determines the minimum length of time records should be kept.

These include (for example):

Personnel files – 6 years after leaving service

Annual Leave Records– 2 years

Making a complaint

If you wish to make a complaint about any issues you have experienced regarding your information, then please contact:

Tim Knifton
Information Governance Manager
02920 902272
[email protected]

If you are still unsatisfied following your complaint and this remains unresolved, you have the right to make a complaint to the:

Information Commissioner’s Office,

2nd Floor,
Churchill House,
17 Churchill Way,
Cardiff, CF10 2HH

Email: [email protected]
Website: www.ico.org.uk

Further information

For more information relating to this leaflet or questions on the content of this information, please contact Recruitment Services

Telephone: 02920 905353

Website: http://nww.employmentservices.wales.nhs.uk/recruitment

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Job ref: 001-DSG880 Job title: Specialty Doctor in Oral and Maxillofacial Surgery

Upon submission of an application form for an NHS England vacancy, a cookie may be shared with NHS England & Improvement (the data controller)
and their partners to measure the effectiveness of recruitment campaigns. This is used for analytics only and you cannot be directly identified from this
type of cookie.

To make an enquiry, a request for your personal information held as part of this process, or to arrange for any mistakes to be corrected, you may
contact either the team who are handling your application or the Data Protection Officer ([email protected]). If you agree, we will try to deal
with your request informally, for example by providing you with the specific information you need over the telephone.

If you have a complaint, please contact us so that we can investigate. If you believe that the processing of your information is in breach of the General
Data Protection Regulation then you also have the right to lodge a complaint with the GDPR supervisory authority in the EU Member State of your
habitual residence, place of work or of the alleged infringement.

Application: 49931542 [Vacancy: 2837965] Page 19 of 19