Internationally Educated Nurses Bursary Program Reimbursement

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Personal information on this form is collected by the Department of Health and Wellness under the authority of Section 31(c) of the Freedom of Information and Protection of Privacy Act. It will be used for the purposes of administering my participation in and determining reimbursement of expenses pursuant to the International Educated Nurses Bursary Program. Any information collected may also be shared with your Employer for verification. For more information on the collection, use or disclosure of this information, contact healthworkforce@gov.pe.ca.

Identification
For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555