BINA Registration Form
British Indian Nurses Association (BINA)
Thank you for registering to BINA organisation. Please fill below details
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Email *
Name *
Phone Number *
Gender *
Date of Birth (DD/MM/YYYY) *
NMC Number
Name of Workplace *
UK Workplace Region
Area of Work *
If the answer is other, Please Explain
Country of Origin *
If Answer is other, Please Explain
Country of Nursing Training *
If Answer is other, Please Explain
Are you practicing as Registered Nurse? *
Name of Nursing Training College and passing year
Current role/Specialty *
Current Band *
Share your Ambition, Aspiration and Plans
To comply with GDPR, We must tell you that we hold your data to help us to keep you updated with all relevant BINA activities. Are you happy for us to contact you by email or phone? *
A copy of your responses will be emailed to the address you provided.
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