National Visa Center Checklist for Nurse Candidate

Please submit a colored copy of all the documents on the checklist. If you have already submitted any
of the requested documents, please make a note of it in the ‘remarks’ box.
Note: If you need specific instructions on how to obtain the police certificate from the country that you
have lived or need help applying for the VisaScreen Certificate, please feel free to let us know.
Candidate’s Official Name:

Required Documents Check Remarks

Passport Biographic Page (must be valid for at Attached in email
least six months) 

PSA Birth Certificate  Attached in email

PSA Marriage Certificate Single

N/A

Copy of a Police Certificate from each country Requested – For pick –up 8/31/2020
you have lived in for more than 6 months at any
time in your life.
Copy of VisaScreen Certificate (please apply if  Attached in email
you do not have it or renew as soon as possible
if it is about to expire soon).

If applicable, please indicate if you have the following documents for dependent family members whom you
included in your application (spouse and child under 21 years old).
Spouse’s Name:

Required Documents Check Remarks

Passport Biographic Page (must be valid for at
least six months)

PSA Birth Certificate

PSA Marriage Certificate

Copy of a Police Certificate (any dependents

who are 16 years or older, must also obtain a
copy of a police certificate from each country
they have lived in for more than 6 months at
any time in their life)
Child’s Name #1: Cayden Leandro Ezequiel Farillas

Required Documents Check Remarks

Passport Biographic Page (must be valid for at Scheduled application 8/28
least six months)

PSA Birth Certificate  Attached in email

Copy of a Police Certificate (any dependents N/A

who are 16 years or older, must also obtain a
copy of a police certificate from each country
they have lived in for more than 6 months at
any time in their life)

Child’s Name #2:

Required Documents Check Remarks

Passport Biographic Page (must be valid for at
least six months)

PSA Birth Certificate

Copy of a Police Certificate (any dependents

who are 16 years or older, must also obtain a
copy of a police certificate from each country
they have lived in for more than 6 months at
any time in their life)

Child’s Name #3:

Required Documents Check Remarks

Passport Biographic Page (must be valid for at
least six months)

PSA Birth Certificate

Copy of a Police Certificate (any dependents

who are 16 years or older, must also obtain a
copy of a police certificate from each country
they have lived in for more than 6 months at
any time in their life).