CapitalPro Agency

IIC Group of Companies

Registration Form

Please fill in all the required field to avoid delay in your registration.

Please provide your phone number and a whatsapp number
Are you a registered nurse in your home country*
Please give contact details including postal address and phone numbers
If you are not a registered nurse what healthcare work have yo done, please give description.
Please give 4 references 2 coving the past 5 years of current and previous employers and 2 character references.
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.
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Please ensure you warn your referee or your contact to speed your process if we contact them.

Your registration fee is non-refundable, it is your responsibility to ensure you qualify for this programme

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