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  • RON-2020-14072020 Application For RON

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    Jennifer Wong
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    This document is an application form from the Ministry of Health Malaysia Nursing Board for retention of name (RON). It requests information such as the applicant's name, passport number, NRIC number, registration number, mailing address, email, mobile number, payment details according to profession, reason for application such as study overseas or working in a different field, and notes on required document attachments including a registration certificate and payment method.

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    Application form for RON 2020

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    RON-2020-14072020 Application for RON

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    This document is an application form from the Ministry of Health Malaysia Nursing Board for retention of name (RON). It requests information such as the applicant's name, passport number, NRIC number, registration number, mailing address, email, mobile number, payment details according to profession, reason for application such as study overseas or working in a different field, and notes on required document attachments including a registration certificate and payment method.

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    © All Rights Reserved
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    573 views1 page

    RON-2020-14072020 Application For RON

    Uploaded by

    Jennifer Wong
    This document is an application form from the Ministry of Health Malaysia Nursing Board for retention of name (RON). It requests information such as the applicant's name, passport number, NRIC number, registration number, mailing address, email, mobile number, payment details according to profession, reason for application such as study overseas or working in a different field, and notes on required document attachments including a registration certificate and payment method.

    Copyright:

    © All Rights Reserved
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    of 1

    BKJ-BOR-DAF/APC-03 Pin 2/2020

    Ministry Of Health Malaysia


    MALAYSIA NURSING BOARD
    Lobby 3, Blok E7, Parcel E, Precint 1,
    Federal Government Administrative Centre,
    62590 PUTRAJAYA Tel : 603-8883 3547 / 8883 3575
    MALAYSIA Faks : 603-8890 4149 / 8883 3644
    http : //nursing.moh.gov.my

    APPLICATION FOR RETENTION OF NAME (RON)

    Name :

    Passport No : No NRIC:
    Registration No Date of Registration

    Mailing Address

    Email

    Please tick ( √ ) Mobile Phone No


    Payment per year x total
    Verification Application Year Total Payment
    year apply
    Registered Nurse
    RM 25 x ………..year RM
    Community Nurse
    RM 10 x ……… year RM
    Assistant Nurse
    RM 10 x ………. year RM

    Total Payment RM
    Reason Of Application. Please tick ( √ ) Please Specify:
    Study in oversea Country:
    Not Working
    Working Overseas Country:
    Pension
    Working in Different Field Type of work:
    Long Medical Leave Disease:
    Other Please Specify:
    Notes:
    1. Attach a copy of Registration Certificate
    2. Attach a copy of resignation letter if APC is available for the previous year.
    3. Attach letter of retirement (for retirees’ first time application).
    4. Money Order or Bank Draft in Ringgit Malaysia
    5. Payable to: Secretary Of Nursing Board Malaysia.

    Date : Signature of Applicant:

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