WELCOME TO NURSIPHY ECOSYSTEM

Nursing Consultant / Health Assistant Registration Form

Please fill this form in CAPITAL letters. Attach copies of required documents.*

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1Page 1: Personal & Communication Credentials

2Page 2: Professional Qualifications & Clinical Expertise

3 Page 3: Statutory Document Archives & Biometrics

4Page 4: Regulatory Compliance & Financial Ledger

Name

First

Last

Mother's Name

Father's Name

Gender

Date Of Birth (DOB)

Contact Number

Email Address

Permanent Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Type your District Name in City.

Is your Correspondence Address same as Permanent Address ?

Correspondence Address

Address Line 1

City

State / Province / Region

Postal Code

Country

If your address is the same as permanent address, select YES above and leave this section blank. If different, select NO and fill this section.

Terms and Conditions for Registration

1. Verification of Documents and Credentials

All information, academic degrees, and nursing council registration certificates provided during registration must be 100% genuine and valid.
Nursiphy reserves the right to verify credentials at any stage. If any document is found to be forged, fake, or invalid, the candidate's registration will be terminated immediately, and legal action may be initiated.

2. Professional Conduct & Clinical Liability

Candidates must adhere to the highest professional and ethical standards of nursing and patient care while delivering their professional service.
Nursiphy acts as a consulting and staffing platform connecting candidates with healthcare providers/patients. Any clinical errors, negligence, malpractice, or misconduct during professional service hours will be the sole responsibility of the candidate.

3. Deployment and Service Rules

Registration on this portal does not guarantee immediate placement or employment. Placements are subject to availability, location, matching skill sets, and the opportunity for association.
Once assigned to a hospital, clinic, or home-care patient, the candidate must strictly follow the assigned shift timings and protocols of the professional service.

4. Financial & Fee Policies

Any registration or processing fee paid to Nursiphy is non-refundable.
Direct financial transactions, tips, or personal borrow/lending between the candidate and the patient’s family or hospital staff without informing Nursiphy are strictly prohibited.

5. Data Privacy & Security

Nursiphy is committed to protecting your personal data. Your uploaded documents (Aadhar Card, Certificates, Photo, etc.) will be stored securely and will only be shared with verified employers or healthcare institutions for placement purposes.

6. Termination of Registration

Nursiphy reserves the right to cancel or suspend the registration of any candidate without prior notice in case of absenteeism, misbehavior, breach of confidentiality, or any criminal involvement during their professional service.

Terms & Conditions

I have read and agree to the Terms and Conditions of Nursiphy.

Solemn Declaration

"I hereby declare that all the information and documents provided by me in this registration form are true, complete, and correct to the best of my knowledge and belief."

MANDATORY SCREENING FEE CHARGES

Please complete the profile verification routing to activate your registration database.

Service Entity Type	Micro Enterprise / Consultancy
Fee Component	One-time Profile Screening
Total Amount Due	INR 199.00

SECURE IMPS/UPI MATRIX QR CODE

Launch UPI App (Mobile Device Handset)

* This transaction routes directly via authorized UPI nodes. Manual reconciliation requires the 12-digit UTR sequence to be supplied below for data auditing.

Transaction Details / Receipt Upload

Click or drag a file to this area to upload.

Upload ₹199 payment receipt showing the UTR/Ref No. Formats: PNG, JPG (Max 5MB).

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WELCOME TO NURSIPHY ECOSYSTEM

Terms and Conditions for Registration

MANDATORY SCREENING FEE CHARGES

Build Your Career with Nursiphy

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