To: The Secretary Nursing Council of Hong Kong 17th Floor, Wu Chung House 213 Queen’s Road East Wanchai Hong Kong CERTIFICATE OF HEALTH (For Application for Registration / Enrolment as a Nurse) (To be completed by a medical practitioner registered under the Medical Registration Ordinance (Cap. 161, Laws of Hong Kong)) I certify that I have examined ........................................................................................ and found that *he / she is not suffering from any scheduled infectious disease, within the meaning of the Prevention and Control of Disease Ordinance (Cap. 599, Laws of Hong Kong), such as to render him/her unfit, in my opinion, to attend the sick. Signature Full Name (in Block Letter) Correspondence Address Telephone no. Date (DD/MM/YYYY) [Note 1] * Delete whichever is inapplicable. Note 1 : The date of the “Certificate of Health” must not be more than six months before the application for registration/enrolment is received by the Nursing Council of Hong Kong, otherwise, it will be regarded as invalid. Note 2: Any amendments made should be initialed by the respective person, i.e., the person who has made the amendments.
To: The Secretary Nursing Council of Hong Kong 17th Floor, Wu Chung House 213 Queen’s Road East Wanchai Hong Kong CERTIFICATE OF HEALTH (For Application for Registration / Enrolment as a Nurse) (To be completed by a medical practitioner registered under the Medical Registration Ordinance (Cap. 161, Laws of Hong Kong)) I certify that I have examined ........................................................................................ and found that *he / she is not suffering from any scheduled infectious disease, within the meaning of the Prevention and Control of Disease Ordinance (Cap. 599, Laws of Hong Kong), such as to render him/her unfit, in my opinion, to attend the sick. Signature Full Name (in Block Letter) Correspondence Address Telephone no. Date (DD/MM/YYYY) [Note 1] * Delete whichever is inapplicable. Note 1 : The date of the “Certificate of Health” must not be more than six months before the application for registration/enrolment is received by the Nursing Council of Hong Kong, otherwise, it will be regarded as invalid. Note 2: Any amendments made should be initialed by the respective person, i.e., the person who has made the amendments.
EN_application_form_for_local_applicant_Eng_2017.docx