護理服務提供者註冊表

Service Provider Registration Form

所有標註「＊」之欄位為必填項，請完整填寫。

All fields marked with “＊” are required. Please fill them out completely.

稱謂 (Title)

名 (Given names)

姓 (Surname)

性別 (Sex)

男性 (Male)

女性 (Female)

電子郵件 (E-mail Address)

聯絡電話 (Contact No.)

使用語言 (Spoken language)

廣東話 (Cantonese)

英語 (English)

國語 (Mandarin)

其他 (Other)

搜尋者將用此資訊作搜尋條件৹

This information will be use as search criteria for seeker.

專業註冊編號 (Professional Registration Number)

年資 (Years of Experience)

搜尋者將用此資訊作搜尋條件৹

This information will be use as search criteria for seeker.

護理服務提供者專業 (Healthcare provider Profession)

註冊護士 RN Registered Nurse

登記護士 EN Enrolled Nurse

健康服務助理 HCA Health Care Assistant

個人護理員 PCW Personal Care Worker

保健員 HW Health Worker

家務助理 + 護理 Domestic Helper + Nursing

其他 (Other)

搜尋者將用此資訊作搜尋條件৹

This information will be use as search criteria for seeker.

請在下方上傳您的專業證書

Please upload you Professional certificate below:

註冊證書/登記,& 執業證明書/培訓證書 (Certificate of Registration / Enrolment, & Practicing Certificate / Training Certificate)

Upload support document for specialty if any