Registration for Nurses

Registration Form

Forename and Surname*

Address*

Country of Irigin*

Phone

Please provide your phone number and a whatsapp number

Are you a registered nurse in your home country*

YesNo (if no go to Healthcare Staff Question)

Registration Body

Registration Body Details

Please give contact details including postal address and phone numbers

Current Employer

How long have you been in your current employment

Are you a healthcare staff*

If you are not a registered nurse what healthcare work have yo done, please give description.

Please tell us what you have done so far to come to the UK as a health care professional.

References

Please give 4 references 2 coving the past 5 years of current and previous employers and 2 character references.

Email Address*

Further information*

Please use this space to tell us anything else that will assist you in being accepted by this agency.

Do you have zoom or whatsapp video call

Please insure you have these apps available as we will use this to call you when we do our checks.

YesNo

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