Application Form

Nursing Registration Application

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Application

Nursing Registration Application

Apply for nursing registration and licensing.

Processing Time

21-30 working days

Fee

ZMW K100.00

Ministry

Ministry of Health and Child Care

Personal Information

Full Name *

Email Address *

Phone Number *

National Registration Card (NRC)

Address

Application Details

Purpose of Application *

Nursing Qualification Level *

Training Institution *

Year of Graduation *

Required Documents *

National ID Copy *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Nursing Qualification Certificates *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Academic Transcripts *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Professional References (2) *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Medical Certificate of Fitness *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Police Clearance Certificate *

Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

Proof of Payment *

Please upload proof of payment for the application fee of ZMW K100.00.

Payment Receipt/Bank Statement *

Upload your payment receipt, bank statement, or other proof of payment. Accepted formats: PDF, JPG, PNG, DOC, DOCX (Max 5MB)

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