Registration form

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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