APPLICATION FORM FOR RENEWAL
A.P.Nurses and Midwives Council,
Sultan Bazar, Hyderabad 500 095
Sub: Renewal of Registration as Nurse / Midwife / Public Health Nurse
/ Health Visitor / Auxiliary Nurse Midwife / Health Worker
I have registered my name as Nurse / Midwife / Public Health Nurse / Health Visitor / Auxiliary Nurse Midwife / Health Worker bearing the following Registration numbers with Andhra Nurses and Midwives Council / Hyderabad Nurses, Midwives & Health Visitors Council / Andhra Pradesh Nurses, Midwives, Auxiliary Nurse Midwives and Health Visitors Council.
Registration Number: Date of Registration
Nurse . .
Midwife . .
Public Health Nurse .. .
Health Visitor .. .
Auxiliary Nurse Midwife .. .
Health worker . .
I am herewith enclosing a Demand Draft No. .dated . for Rs ..( Rupees in words) .. .
Towards renewal of fee as Nurse / Midwife / B.Sc., (Nurse) / Public Health Nurse / Health Visitor / Auxiliary Nurse Midwife / Health Worker in favour of ANDHRA PRADESH NURSES & MIDWIVES COUNCIL, HYDERABAD from any nationalized bank payable at Hyderabad.
(Name of the Bank ..D.D.No )
A self addressed envelope with Rs .Postage Stamps affixed is enclosed for sending the receipt of the Renewal Fee by Regd. Post.
Thanking you, Yours faithfully,
(Signature of the Applicant)
N.B. :- Delete whichever is not applicable,
if you have renewed previously please send
the renewal receipt.
Remain in force .
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