Basic Nurse Registration
Only serious and eligible companies should register. Please contact our US office for more information.
All fields marked with * are mandatory.

 Username *
Create a login name that you can remember easily. Should be of minimum 6 characters and contain only letters (a-z) numbers (0-9) and underscore (_).
 Password *
Secure your login with a password of minimum 6 characters containing only letters (a-z) numbers (0-9) and underscore (_). Don't write or store this password anywhere.
 Re-type Password *
 First Name *
 Last Name
Today's Date , , (dd,mm,yy) *
 Date of Birth , , (dd,mm,yy) *
Permanent Home Address
Bldg./Street Area
City State
Zip Code Telephone (R) *
Educational Qualifications *
Professional Qualifications *
Nursing Specialty
Email *
Do you have your CGFNS certificate? Yes No *
Do you have your TOEFL(TWE) and TSE or IELTS certificate? Yes No *


    

MAIL TO:
India Office:
BhM Nursing Solutions
No. 3, Great Eastern Summit ‘A’
CBD Belapur, Sector 15
Mumbai, 400614
Tel: 022-27565643 / 27565869. Ask for Mrs. Joyti Shinde;
e-mail: bhmns@bhmnursingsolutions.com; or bhmns@vsnl.com