Home Care Nurse Registration
Bedside Care, Injections & Clinical Vitals
1. Personal & Account Credentials
Full Legal Name *
Mobile Number *
+91
Email Address
Password *
Confirm Password *
2. Nursing Council Registration & KYC
Nursing Council Registration Number
Nursing Degree / Diploma Certificate
*
Upload scanned B.Sc Nursing / GNM diploma certificate
Upload Document (Camera / Gallery / PDF)
Aadhaar Card Number (12 Digits) *
Aadhaar Card Document
*
Upload front/back of Aadhaar card
Upload Document (Camera / Gallery / PDF)
PAN Card Number (10 Characters) *
PAN Card Document
*
Upload official PAN card document
Upload Document (Camera / Gallery / PDF)
3. Transit Vehicle
Scooter / Transit Vehicle Number
Driving License Number
4. Operating Address & Payout Bank
Street & Area
City
Pincode
Bank Name
Bank Account Number
IFSC Code
Submit Nurse Application
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