Application Form

Applicant

Name*

ID Number*

Telephone*

E-mail*

Address*

Postal Code*

City/Town*

Company name

Work Telephone Number

School*

Education Institution BS Degree completed (mm/yy)*

I have an Icelandic nursing license from the Icelandic Directorate of Health*

Attach your Icelandic nursing license from the Icelandic Directorate of Health*

Choose File

Bank No.*

Bank Account Type No.*

Bank Account No.*

INA's mailing list

I wish to be registered to the INA's mailing list.

INA´s Data Protection Strategy*

I have read the INA´s Data Protection Strategy and accept INA´s Processing and storage of personal data.

*Fields marked with a star have to be filled.