TALENT ANGELS PTE. LTD.

License: 17C9009

Date of Application: Ref. No.

09 Agust 2023

POSITION APPLIED FOR

 Enrolled Nurse(EN) Registered Nurse (RN)

Year 1 Year 2 Year 3 Year 4

Year of Study Postgraduate  Working Professional

* Please delete accordingly. Please use ‘Nil’ or ’NA’ where necessary. No fields should be left blank.

(A) PERSONAL PARTICULARS

Full Name (as in passport)
Underline Surname
* Dr / Mr / Mrs / Miss / Miss Nasira Annas

Passport Number Passport Expiry Date Identity Card Number

7317085603920001 Recent
Date of Birth Citizenship Nationality Passport Size
16 March 1992 INDONESIA INDONESIAN Photo
Marital Status Gender
* Single / Married / Separated / Widowed / Divorced FEMALE
3 cm x 4 cm
Religion Contact number
Muslim (Mobile) : 082217284170
(Home)
(Office)
Permanent Address (as
Datok Sulaeman street
in identity card)

Email address Nayshira096@gmail.com

Languages Spoken INDONESIA

Languages Written INDONESIA

Bachelor of Science in Nursing

Highest Education Level  Diploma in Nursing
Do you wear glasses? Height (cm) Weight (kg)
 No 155 cm 58 Kg

Do you have a tattoo? If yes, please indicate the location of tattoo

 No

1
 Date
Qualification Institution
From To
(dd/mm/yyyy) (dd/mm/yyyy)

SENIOR HIGH SCHOOL SMK GAFUR YAHYA 02/04/2008 26/04/2010

SAWERIGADING NURSING
UNIVERSITY OF DIPLOMA 26/05/2010 29/07/2013
ACADEMIC

(B) ACADEMIC EDUCATION

(C) WORK EXPERIENCE

1.
Year (Length of Employment) Position Bed Capacity
(dd/mm/yyyy – dd/mm/yyyy) (e.g Registered Nurse/ Staff Nurse)
6 YEARS 1 MONTH
STAFF NURSE 200
(21/04/2018-06/2020)

Employer Country

CO. HAJI DARJAD HOSPITAL INDONESIA

Specialisation
(e.g MS ward/ ICU/ pediatric)

EMERGENCY ROOM, INTENSIVE CARE UNIT, NORMAL CARE

Key Responsibilities:

o Check the patient’s conditions at any time

o Place Infusion and catheters in patients

2
2.
Year (Length of Employment) Position Bed Capacity
(dd/mm/yyyy – dd/mm/yyyy) (e.g Registered Nurse/ Staff Nurse)

Employer Country

Specialisation

Key Responsibilities:

o Check the patient’s conditions at any time.

o Place Infusion and catheters in patients

o provide therapy according to the doctor's program

o change dressing

o Monitoring patient's condition

o Perform routine procedures (blood pressure measurements, administering injections etc.)

3.
Year (Length of Employment) Position Bed Capacity
(dd/mm/yyyy – dd/mm/yyyy) (e.g Registered Nurse/ Staff Nurse)

Employer Country

Specialisation
(e.g MS ward/ ICU/ pediatric)

Key Responsibilities:

3
 o

Please append the following documents:

1. Current Practicing License

2. Training certificate(s) / Graduation Certificate(s)

3. Transcript of Nursing Education (including Theory and Practice Hours)

4. Certificate of Employment

5. Vaccination Certificate

Note:
i) Documents that are not in English Language must be supplemented by an accurate translation in English
Language and certified by a Justice of Peace, Notary Public from their country of origin.