ࡱ> /1._ bjbjCC .)D\)D\8L XtttttOOO$A 8OO8ttMFtttP+e.vc0   tO'|=OOO88&dOOO OOOOOOOOO> :  Name: (In Block Letters) Surname First Second Date of Birth: .. Home Address: ................................ Temporary Address: . (in Guyana) . State whether Single or Married: Maiden Name: .. Project/Company or: . Hospital of Attachment: . & Telephone Number: Seeking Registration as: Nurse Practitioner/Nurse/ Midwife/ Nursing Assistant (Please tick) Period of Stay in Guyana: From: . To: .. NB: You are required to produce an Original or certified copy of current Registration Before Temporary Registration is Granted. Registration will be valid for a period of six (6) months only after which it MUST be renewed. FEE: ------------------ DATED: Signature of Applicant Signature of Witness: Address of Witness: All applications must be accompanied by notarized copies of the following supporting documents: 1) Passport Photo, 2)Copy of current license 3) Copy of Medical Diploma     GENRAL NURSING COUNCIL, GUYANA APPLICATION FORM TEMPORARY REGISTRATION AS A NURSE/MIDWIFE/NURSING ASSISTANT Application Form MUST be returned to: General Nursing Council, Guyana Ministry of Health (Third Floor) Brickdam, Georgetown, Guyana Telephone 227-2632 /IKLTYfgn' - j k A B R d  ;<=쭩|hb*hu 8hb*5CJaJh]vghb*hb*CJ aJ hb*hb*5>*CJ aJ h;jh;Uh=h=5CJhf5CJaJh=5CJaJhxC5CJaJhn5CJaJhb*5CJaJhu 85CJaJhu 85>*CJaJ//`a) * _   O  ! " gdu 8$a$gdu 8" d e K L f g   $a$gdb*gd=gdxCgdu 8 ;<=cgdu 8gdb*$a$gdb* ,1h/ =!"#$% s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List 4@4 b*Header  !4 @4 b*Footer  !PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  zz"  8@0(  B S  ?BBBBBBBBBBBBBCCccOO[44||     iiWee::  = *urn:schemas-microsoft-com:office:smarttags PlaceType= *urn:schemas-microsoft-com:office:smarttags PlaceNameB*urn:schemas-microsoft-com:office:smarttagscountry-region8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace  `b%N3333fg*_Lefg**Rd} 1e4u 8;JP(Ylg]vgnP rxC=Bg8<`Hi-&frb*@@UnknownG.Cx Times New Roman5Symbol3. .Cx ArialA$BCambria Math"h[cB[cBBB'  !243QHP ?`H2!xx GENRAL NURSING COUNCIL, GUYANARev. Brenda Kirton HarewoodSheila Oh+'0  ( H T ` lx GENRAL NURSING COUNCIL, GUYANARev. Brenda Kirton HarewoodNormalSheila2Microsoft Office Word@@}b@rAe@rAe ՜.+,0 hp   Lott Carey  GENRAL NURSING COUNCIL, GUYANA Title  !"#$%'()*+,-0Root Entry F@e21Table WordDocument.SummaryInformation(DocumentSummaryInformation8&CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q