PDF《香港护士管理局 及 香港助产士管理局》

NURSING COUNCIL OF HONG KONG & MIDWIVES COUNCIL OF HONG KONG 香港护士管理局 及 香港助产士管理局 Application Form for Change of Address and/or Telephone Number(s) 更改地址及/或电话号码申请表格 If you have changed the correspondence address and/or contact telephone number(s), please complete this form in block letters and return it in person or by post to the Central Registration Office, Department of Health, 17/F, Wu Chung House,

213 Queen's Road East, Wanchai, Hong Kong.

Alternatively, you may fax the completed form to

2891 7946. 若你的通信地址及/或联络电话号码已经更改,请以正楷填妥此表格,并亲自或以邮递方式把 表格交回香港湾仔皇后大道东

213 号胡忠大

17 楼生署中央注册组.此外,你亦可把填妥 的表格传真至

2891 7946. 1. Name 姓名 : (English 英文) (Chinese, if applicable 中文,如适用) 2. Category 种类 Registration/Enrolment No. (Please tick whichever is appropriate 请在合适方格内填上'?') 注册/登记号码 Registered Nurse (General) 注册护士 (普通科) Registered Nurse (Psychiatric) 注册护士 (精神科) Registered Nurse (Mentally Subnormal) 注册护士 (弱智人士科) Registered Nurse (Sick Children) 注册护士 (病童科) Enrolled Nurse (General) 登记护士 (普通科) Enrolled Nurse (Psychiatric) 登记护士 (精神科) egistered Midwife 注册助产士 R 3. Correspondence Address 通信地址 : (Please provide the Chinese and English address 请提供中文及英文地址) 4. Contact Telephone No. 联络电话号码 : For Official Use 只供内部填写 Date of Receipt : Computer : Register : Signature 签名 : Date 日期 :