Australian College of Midwives - NSW Branch Incorporated


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 ABN 91 683 274 297

 
   
 ACM NSW Branch
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Application to join the ACM NSW Branch
Item code J001
Options Total $286.00
Total With Options $286.00
  Select Options
BASIC INFORMATION
Date of Birth
Country of Birth
Nationality
Class of Membership
NRB NSW Licence to Practice Midwifery No. (full/assoc.)
Student Number for concession membership
MIDWIFERY EDUCATION
Institute
Country of Registration
Year of initial registration
Registration Body
Initial Midwifery Qualification
NURSING EDUCATION
Institute
Country of Registration
Year of initial registration
Registration Body
Initial Nursing Qualification
ADDITIONAL QUALIFICATIONS
Enter Details of any additional qualifications
EMPLOYMENT DETAILS
Current Role
Employer / Place of work
Area(s) of specialisation
 
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Please use this item to apply to join the Australian College of Midwives NSW Branch. Renewals should be submitted using the 'Renew Membership' item.

Please see here for membership categories.

Note that you must login (if not already) to complete our application - details of name & address etc. will be taken from your login details. If you do not have a login ID please use the register button to create one.

Please complete as much information as is relevant.
   
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