Name *

Email *

Location (City, State) *

Sample Response: "Jaipur, Rajasthan"

Mobile Number *

Qualification *

Bsc Nursing

GNM Nursing

ANM Nurisng

In which year did/ will you graduate? *

Hospital experience post your graduation in months *

Do you want to practice Nursing Abroad? *

Yes

No

Already Preparing

Already selected and going

If you selected Already Selected and going/Already preparing , then please mention the Institute / Agency Name which is helping you in this

Have you cleared any licensing examination for a specific country. (Ex: DHA Prometric etc )

Which countries are you interested to practice nursing in? *

Enter all countries separated by comma ","

What are the challenges you anticipate to practice nursing abroad? *

Family permission

Fees to pay agency/ money

Learning new languages

⁠Fear / anxiety of moving to a new country

Getting scammed / exploited in the process

Any other (please mention below)

Please Mention the challenges if you selected any other option

Language Proficiency for speaking, reading, writing (out of 5) - 0: Lowest proficiency, 5: Highest proficiency *

Sample response: "English, 5, 3, 4; Hindi, 3, 2, 1"

Are you willing to learn new languages and culture to practice nursing abroad? *

Yes

No

Maybe

Preferred time to contact you *

Morning

Afternoon

Evening

I dont want to be contacted

Nursing Abroad Community & Career Support Form