Name: Gender: Age:

Ercun village

Uncovered facade

Half-length photo

(stamped with the seal of riding seam)

Nurse practice certificate. ：

Time for training or further study: year month day to year month day.

Examination time: year month day

3. Chicao's nuclear law enforcement system

On knowing the truth, being superior in skills and being poor in goodness.

1. Self-identity:

Signature of Senior (Internship) Student:

date month year

2. Teachers' opinions:

Signature:

date month year

3. Department evaluation:

Signature of person in charge:

date month year

4, nursing evaluation:

Signature:

Seal of unit: year month day.

5. Remarks:

Note: 1. Trainers must contact comprehensive medical institutions at or above the second level for training with this assessment form;

2, the assessment criteria meet the requirements of hospital classification management;

3 this form is in triplicate, one for the registration authority, the training (assessment) unit and the employer.

Matters needing attention in filling in the Examination Form for Nurse Registration Training

Scope of filling in the form: nurses to be employed by legal medical institutions whose registration has been suspended for more than five years.

1, "self-evaluation:" is carefully filled in by myself according to the actual work situation of entering a higher school;

2. The receiving department of further medical institutions should conduct a comprehensive review and evaluation of their professional level, work performance and professional ethics according to their work during their further studies.