Please submit photocopies of the first seven (7) documents and original copies of the next four (4) documents.

  1. Medical School Diploma

  2. PRC Board Certificate

  3. Valid PRC License

  4. Certificate of Residency Training

  5. Specialty Board Certificate

  6. Certificate of Fellowship (Philippine College of Surgeons)

  7. Certificate of Completion of a Course on Basic or Advanced Laparoscopic Surgery (go to workshops) 

    • or a Certificate of Training  in Laparoscopic Surgery

  8. Preceptorship Certificate signed by a certified preceptor of PALES attesting to at least

    • 10 assisted Laparoscopic Cholecystectomy cases

    • 10 performed Laparsooscopic Cholecystectomy cases

    • 2 Assisted Lap Appendectomy Cases

    • 3 performed Lap Appendectomy cases 

    • Please Submit  copy of Histopath Report of all PERFORMED cases

  9. Accomplished Application Form

  10. Application Letter

    Letter addressed to:
    Raymund Andrew G. Ong, MD
    Director, Committee on Membership and Credentials

  11. Chapter Endorsement

  12. Submit five (5) names of PALES fellows with corresponding email addresses.
    (Names of FELLOWS must be coming from the chapter or from the Fellows practicing in the same area. If there is limited numbers of fellows from the area, submit names of fellows from neighboring provinces. Endorsement given by your preceptors will not be accepted.)

  13. Five (5) unedited videos performed within the last two years

    • 3 Lap Cholecystectomy

      • Follow the PALES standard 4-port technique in achieving the Critical View of Safety (CVS)

    • 2 Laparoscopic Appendectomy

  14. Two pcs. (2x2) colored ID pictures.


  1. The Committee on Membership and Credentials will make a random check on your institution.

  2. Application Fee            : Php1,500.00

Other fees: (to be settled once application is approved)

Php2,000.00      : Induction fee


Deadline for submission: MARCH 15, 2021 (MONDAY)


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