Register as a Nurse
Trained Overseas - International Medical Graduate
Date of Birth (not compulsory):
Current Residential Address:
Current Postal Address:
Country of Citizenship:
Is this the country you work and reside in?
Which country do you work in, if different to your country of residence?
Are you considering coming to Australia with family? If so please list all names and dates of birth (for
purposes) and their relationship to you:
Do you or any family member coming with you have a health problem that may affect the visa?
Please indicate your preferred method of contact:
Where did you undertake your primary qualification?
Primary qualification type (eg. Hospital based or which university):
Year of qualification:
Are you currently working?
Current country that you are (or have been) registered in:
Have you been registered in any other country?
Have you ever had disciplinary action taken against you by any nursing board in the world?
Have you applied to the Australian Nursing Council?
Have you applied to the Nurses Board in the state you are looking to work in?
If so, for which dates did you apply to the Nurses Board?
How many years General Practice experience have you had, and in which countries?
Have you worked or been registered in Australia? If so - please provide details:
Current State you are registered in:
New South Wales
Please indicate the status of your visa, including your current sponsor if you hold a temporary visa:
State you would like to work in:
New South Wales
City/Country area you would like to work in:
Duration of stay:
1 year +
When are you intending to start?
How did your hear about us?
from a colleague
AGPR Rewards member
If applicable, name of AGPR Rewards member: