CURRICULUM VITAE

Name :
Phone :
E- Mail :

PERSONAL DETAILS

Date of Birth :
Nationality : Indian
Gender : Female
Marital Status :
No. & Age of Children (if any) :
Religion :
Height :
Weight :
BMI :
Present Address :

Permanent Address :
Languages Known :
PASSPORT DETAILS
Passport No :
Place of Issue :
Date of Issue :
Date of Expiry :

EDUCATIONAL QUALIFICATION

No. of Years of
Course/Exam Passed Board/University Period of Study
Study

REGISTRATION STATUS

Nursing Registration Registration No. Registration Date

EXPERIENCE SUMMARY

Name of The Bed Position Area of Duration Achieve

Employer Capacity Held Exposure Years

DUTIES & RESPONSIBILITIES

NURSING SKILL AND PROCEDURES

REFERENCES

1.
2.

DECLARATION

The information in this section is true and complete. I agree that any deliberate omission,
falsification or misrepresentation in the application form will be grounds for rejecting this application or
subsequent dismissal if employed by the organization. Where applicable, I consent that the organization
can seek clarification regarding professional registration details.
Thanking You.
Yours Faithfully,

Date:
Place: