Registration

Fill in the form below to create your professional portfolio.

Mandatory (required) fields are indicated by an asterisk (*).

First Name * (max. 50 chars) Last Name * (max. 50 chars) Username * (max. 20 chars) E-mail Address * (max. 150 chars) Password *
(Make sure you use a minimum of 6 characters and no more than 12 characters with no blank spaces in the sequence) Confirm Password * Security Question *
Please select a security question and provide the appropriate answer. Your security question will be used to confirm your identity should you forget your password. -- Please select a question -- Father's first name Mother's maiden name First Primary School First pet's name Hospital in which you were born Security Answer * (max. 50 chars) NMC Pin Number Main Role * -- Please select a main role -- Nurse Midwife Student Other Registration Types * Employer -- Please select an employer -- Health Trust Voluntary sector Independent sector Retired Not currently employed Public Health Agency RQIA DHSSPS Health and Social Care Board General Practice Education Provider Other