Nurse Registration

Nurse Registration
 
Dear Nurse,
Thank you for your interest to join Ming Home Nursing services.

We will only consider applicants who are licensed nurses registered with the Singapore Nursing Board  (SNB). Registration fee is S$10.00 and it is one time charge, this fee will be deducted from the first assignment.

Before submitting the nurse registration form, please read the Terms of Service carefully. Nurses who sign up with Ming Home Nursing is deemed agreeable to our Terms of Service. Particularly of great importance, we regularly conduct routine verification of nurses' license with SNB. Please ensure you maintain your nursing license throughout the course of job placement with Ming Home Nursing.

Upon receiving your completed application form, we will begin the home care nursing assignment process. You will be contacted either through phone or SMS. So, make sure you keep your registered number accessible.
 
Nurse Registration
Please complete below form in full.

Name *
 First Last
Please state the actual name as specified with SNB for verification purposes. Failing to do so will cause a delay in accepting your application.


NRIC No./ FIN No. *


Date of Birth*
--(mm-dd-yyyy)

Gender*
Female
Male

Email *


Mobile Phone*


Bank Account Details*

     (example: posb saving 023-44011-3)

Home Address*

     

Are you a registered with SNB?*
Yes - Registered Nurse (RN)
Yes - Enrolled Nurse (EN)
No - None of the above

Current Employer *

     


Do you have a Professional Indemnity Insurance? *
Yes No

Specialized Nursing*


Brief Details of Past Nursing Experience*


I agree that Ming Home Nursing should NOT be held responsible for the nursing services rendered by me. I fully agree to indemnify Ming Home Nursing in the event of any improper, negligent practice; misconduct or misuse by me.*
I Agree
I Do Not Agree

I acknowledge that I have read and agree to the terms of services as specified under www.MingHomeNursing.com *
I Agree and Accept
I Do Not Agree and Accept

Type the letters you see in the image bellow
Secure Code .




38A,Bendemeer Road, Singapore 331038.    
Phone:(65) 8133 1720     Mail: mhnllp@gmail.com
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