SANC Registration Form Title*ProfDrMrMrsMsDecline to stateFirst Name* Last Name* E-mail Address* Confirm E-mail Address* Phone Number Password* Confirm Password*Confirm Professional Council Registered with*SANCProfession*Nursing AuxiliaryEnrolled NurseProfessional NurseIf Professional Nurse, please select below*Child Nursing (Clinical)Community Health Nursing (Clinical)Critical Care Nursing (Adult) - ClinicalCritical Care Nursing (Child) - ClinicalEmergency Nursing (Clinical)Forensic Nursing (Clinical)Infection Prevention and Control Nursing (Clinical)Mental Health Nursing (Clinical)Midwifery (Clinical)Nephrology Nursing (Clinical)Occupational Health Nursing (Clinical)Oncology and Palliative Nursing (Clinical)Ophthalmic Nursing (Clinical)Orthopaedic Nursing (Clinical)Perioperative Nursing (Clinical)Primary Care Nursing (Clinical)Health Services Management (Non-Clinical)Nursing Education (Non-Clinical)Professional Council Number* City* Guidelines for a strong password: At least 8 characters—the more characters, the better. A mixture of both uppercase and lowercase letters and a mixture of letters and numbers. Inclusion of at least one special character, e.g. ,! @ ? ]# Only fill in if you are not human