XXX Form
ns for filling out the form:
1.This form is for first-time XXX.
2.Use a black or blue-black pen to fill out the form。with clear and truthful n.
3.ns 1-5 are to be filled out by the applicant。n 6 by the XXX。and n 7 by the XXX.
4.Dates should be XXX.
5.XXX.
6.Health status should be indicated as good。fair。or with chronic illness.
7.Work category should be indicated as clinical nursing。nursing n。XXX。or other.
8.Current technical title should be indicated as nurse。nurse supervisor。chief nurse。deputy chief nurse。chief director of nursing。or not yet XXX.
9.A recent。passport-style。half-body photo should be attached.
XXX Form
Date of XXX
1.Applicant n
Name
Date of XXX
ID Number
非常e购Date of passing XXX
XXX
Major
Date of n
XXX
Year
XXX
XXX
Date (XXX)
XXX
nality
Exam Scores
XXX
Health Status
XXX
2.n on the employing unit of the applicant
透平式压缩机
Employer Name
n Number
猴子的B和人的B一样吗Administrative n Province (Autonomous n/Direct-Controlled Municipality) City County (District)
XXX Number
3.Is this the first n?
Yes □ No □
4.If this is not the first n。please provide details of the applicant's work and current technical title
n
Date of employment
Work XXX
5.Applicant's signature
Current Work Department
Work Category
Date (XXX)
6.n of the employing unit on the applicant (to be filled out by the employing unit)
XXX:
Legal Representative (Authorized Person) Signature
Company Seal
Date of XXX
7.n of XXX)
Approved for n □ Nurse ner Certificate Number:
Not approved for n □ Reason for not approving n:
XXX
Date of XXX