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Application 0
Application 0
Application 0
Ref: RevalidationSummary/V2
Thank you for submitting your application for revalidation. Please find below a summary of your
revalidation declarations.
Please note this is only a copy of your online submission, and is not confirmation of your
registration. You can check your registration by logging on to your NMC Online account.
Practice Details:
Employer details:
Page 1 of 6
Please note this is only a copy of your online submission, and is not confirmation of your registration.
I have had a reflective discussion on my CPD, my feedback and the Code with at
least one other NMC-registered nurse or midwife in line with ‘How to revalidate’:
Yes
Page 2 of 6
Please note this is only a copy of your online submission, and is not confirmation of your registration.
Do you have a health condition and/or disability that currently affects or could
affect your ability to practise safely and effectively?
No
Are you managing your health condition and/or disability so that you can practise
safely and effectively?
-
Do you declare that you are of good character which enables you to practise
safely and effectively?
Yes
Page 3 of 6
Please note this is only a copy of your online submission, and is not confirmation of your registration.
Have you ever been subject to a finding that your fitness to practise is impaired
by a body responsible for regulating or licensing a profession (Including health
and social care)?
No
Page 4 of 6
Please note this is only a copy of your online submission, and is not confirmation of your registration.
Confirmation:
I declare that an appropriate confirmer has confirmed that I’ve met the
revalidation requirements in line with ‘How to revalidate’ and have completed the
confirmation form.
Yes
Do you have a line manager who is also an NMC registered nurse, midwife or a
nursing associate?
Yes
You can print a receipt of payment through your NMC Online account.
Page 5 of 6
Please note this is only a copy of your online submission, and is not confirmation of your registration.
Thank you
Page 6 of 6