Page:UKSI1964 (Part 3- Section 1).pdf/1320

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S.I. 1964/1971
4461


Signatures of Nominators Address Registered
Qualification
and Number

( Date)

(1) Here insert full name, including Christian names, of candidate.

(2) Here insert candidate's address.

(3) Here insert candidate's registration number.

(4) Here insert candidate's place of employment, and its postal address.

(5) Here insert candidate's present post.

(6) If the candidate is not actually employed in nursing, then state briefly the nature of the work in which he or she is engaged.

(7) Here insert description of area as determined for election purposes.

N.B.—Only a nurse registered in the general part of the Register may be nominated as a candidate, but a nurse registered in the general part of the Register or in the part of the Register for fever nurses may sign the nomination paper as a nominator.

Form B (ii) (Form of nomination paper for registered mental nurses and registered sick children's nurses)

We, the undersigned, being nurses registered in the (1)
for England and Wales hereby nominate (2
of (3
who is registered in the (2
and whose registration number is (4

as a proper person to be elected to the General Nursing Council for England and Wales by the nurses registered in the (1)

Signatures of Nominators Address
Qualification and
Number