Ref: OverseasApplication/V1

Overseas Application

Applicants Name: Ms Czarina Sales

PRN: 1020428594
Submission date: 03/12/2019

Before you start your application

I understand the information and evidence I will need to give the NMC. Yes

Self-declaration about your health

Do you have a health condition and/or disability that currently affects or could affect your
No
ability to practise safely and effectively?

Are you managing your health condition and/or disability so that you can practise safely
-
and effectively?

Who will provide the supporting declaration

My registered medical practitioner
about your health?

Registered medical practitioner

Name of health centre/surgery: Quezon Medical Center

Practitioner's Name: Christiana R Camello
Email address: tiana_camello@yahoo.com
Telephone number: -
Country: Philippines
Postcode: 4301
Address line 1: Barangay Eleven Quezon Avenue
Address line 2: Lucena City
Address line 3: Quezon Province

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Address line 4: -
Please select the name your Practitioner
Czarina Sales
knows you by:

Character declaration

Do you declare that you are of good character which enables you to practise safely and
Yes
effectively?

Have you received a police charge, caution, conviction or conditional discharge other
No
than a protected caution or conviction?

Character declaration work registration

Have you worked in a country or state that required you to register but you didn't? No

Self declaration about your character

Have you ever had a finding that your fitness to practise is impaired by a body
No
responsible for regulating or licensing a profession (including health and social care)?

«TrainingRegulatorTable»
Please check the information you gave us about your regulator

Is your profession regulated: -

Are you registered in your training country: Yes
Field of registration: Registered Nurse - Adult
Professional regulatory body: Professional Regulation Commission (PRC)
Registration number: 0722880
Registration date: 04/10/2011

Is this information still correct? Yes

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Police clearances

First police clearance

Country: Philippines
Dates of stay: from 01/2019 to 10/2019
First file SALES, Czarina - NBI.pdf
Second police clearance
Country: Philippines
Dates of stay: from 10/2009 to 12/2016
First file SALES, Czarina - Old NBI.pdf
Third police clearance
Country: United Arab Emirates
Dates of stay: from 12/2016 to 01/2019
First file SALES, Czarina - Police Clearance.pdf

Details regarding your English language capability:

What evidence do you have to support your
Approved English test
English language?

English language approved test

Which test did you take? OET
Date of test 17/05/2019
Candidate Number 200047267
Reading score 350
Writing score 350
Listening score 350
Speaking score 370
Uploaded test certificate SALES, Czarina - OET Result.pdf

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Ref: OverseasApplication/V1

Details regarding your scope of practice:

Direct clinical care or management - adult and
Scope of practice:
general care nursing
Work setting: Hospital or other secondary care
Name of employer: Barchester Healthcare
Employer Address Line 1: Finsbury Street
Employer Address Line 2: London United Kingdom
Employer Address Line 3: -
Employer Address Line 4: -
Employer Postal Code: -
Employer Country: England

Indemnity arrangements

I declare that I hold, or will hold when I begin practising, appropriate cover under an
Yes
indemnity arrangement in relation to my practice?

First indemnity arrangement

I declare that my professional indemnity I am not practising at this time but I intend to
arrangement is by virtue of: have appropriate cover in place before I practise.

© The Nursing and Midwifery Council 2019

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