Curriculum Vitae 
To be submitted to Singapore Nursing Board for eligibility check
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Email *
Name in Capital Letters *
Phone Number *
Email address *
Date of Birth *
MM
/
DD
/
YYYY
Nationality *
Gender *
Marital Status *
Number & Age of Children (Example: 3 children - 5, 7 & 9 years old) *
Religion *
Height *

Weight *
BMI (Body Mass Index) *
Permanent Address *
Languages Known *
Passport Number
Passport Place of Issue *
Passport Date of Issue *
MM
/
DD
/
YYYY
Passport Date of Expiry *
MM
/
DD
/
YYYY
Name of Nursing School or College Attended *
Qualification *
Graduation/Course Completion Date (Refer to date provided on Transcript if available) *
MM
/
DD
/
YYYY
Primary Registration Authority (Example: Assam Nursing Council) *
Registration Number *
Registration Date *
MM
/
DD
/
YYYY
Validity Period (Example: From 1st Jan., 2022 - 1st Jan., 2023) *
Validity Period (Renewal, if any) *
Secondary Registration Authority (If any) *
Registration Number *
Registration Date *
MM
/
DD
/
YYYY
Validity Period *
Validity Period (Renewal, if any) *

EXPERIENCE SUMMARY

Name of Employer        

 *
State 
 *
Registration Authority
 *
Bed Capacity       
 *
Area of Exposure (Example: Medical Surgical Ward *
Position *
Period of Employment *
Duties and Responsibilities 
 *
Name of 2nd Employer
 *
State *
Registration Authority *
Bed Capacity *
Area of Exposure *
Position *
Period of Employment *
Duties & Responsibilities *

SERVICE GAP (From date – To date) in dd/mm/yyyy format. Provide Reason)

 *

OTHERS

1. Tattoo

 *
Location of Tattoo and Size (if any) *
2. Do You Have Any Medical Issue? *
Types of Medication (if having any medical issue) *
Number of SNB Exams Attempted *
Type of SNB Exams Attempted Before *
Month & Year of Attempt (1st) *
MM
/
DD
/
YYYY
Result *
Month & Year of Attempt (2nd) *
MM
/
DD
/
YYYY
Result *

REFERENCES

 

Complete Name

Designation

Employer

Contact No

Email

 *

REFERENCES

 

Complete Name

Designation

Employer

Contact No

Email

 *
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