Overseas Registration Application Request Form

All applicants who trained outside Ireland (Groups 1, 2 and 3) should

complete and return this form along with the assessment fee.
You must complete the credit card mandate on page 2 to pay this fee. Once we have received and processed
this form, we will send you a full application pack.
Country in which you trained
as a nurse or midwife
Date you started your initial
nursing or midwifery training

Title (Miss/Ms/Mrs/Mr/other)
Surname

(as per birth or marriage cert)

Forename/s

(as per birth cert)

Date of birth
Email address
Mobile number
Contact address

Must be your own address

NMBI PIN

(if already registered in another division)

* Only currently licenced recruitment agencies will be allowed to act on behalf of an applicant. The recruitment agency must hold a
current valid licence with the Department of Jobs, Enterprise, Skills and Innovation in Ireland.

I wish to apply for registration in the following division(s) of the Register (please appropriate box)
General Nurse

Midwife

Psychiatric

Intellectual Disability Nurse

Children's Nurse

Public Health Nurse

Nurse Tutor

Nurse Prescriber

Signature
Date

Tel: +353 (1) 639 8500

Fax: 353 (1) 639 8595

Page 1 of 2

Website: www.nursingboard.ie

Important notice
Please make sure that you have read all the information about the application process and documentation
requirements before you apply. The assessment fee is non-refundable.

Assessment fee
All Group 1, 2, and 3 applicants must pay an assessment fee. This fee covers the cost of assessing your application.
If you are applying for registration with NMBI for the first time, then you need to pay an assessment fee of 350.
Your assessment fee will cover the cost of applying for multiple divisions of the Register, provided that you include
all divisions on your application request form.
If you are already registered with NMBI, and you are applying to register an extra qualification that you obtained
outside of Ireland, then you need to pay an assessment fee of 200.

Registration fee (not payable at this time)

After we have assessed your application, we will issue you with a decision letter to let you know the outcome of your
application. If you are eligible to join the Register, then you will need to pay a registration fee:

145, if this is your first time registering with NMBI

80, if you are already registered with NMBI

Credit Card Mandate assessment fee payment

Please ensure your Debit/Credit Card is current and there are sufficient funds to meet the payment. Prior
to sending your application request, you may need to notify your bank of an upcoming foreign credit card
transaction. Failure to do so may result in your transaction being declined.
By signing this form, I authorise the Nursing and Midwifery Board of Ireland to deduct the appropriate
assessment fee form my credit/debit card:

For office use only: Reference No:

Transaction No:

Return completed form to:

The Nursing and Midwifery Board of Ireland,18/20 Carysfort Avenue, Blackrock, Co Dublin, Ireland
Tel: +353 (1) 639 8500

Fax: 353 (1) 639 8595

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Website: www.nursingboard.ie