NHS Staff Registration

Work Email (NHS Email: nhs.net or nhs.uk) (required)*

Personal Email (optional)

Title: (required)*

Your Name (required)*

First Last

Your Home postcode (required)*

Postal code

Your contact number (required)*

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Your contact number (required)*

Your NHS ID Card No and Issue date (required)*

RECOMMENDATIONS for entry to the £50 PRIZE DRAW (optional): List names of businesses you would like discounts from (Restaurants, Hairdressers, Solicitors, etc., e.g: Mad Lillies, Hampstead)

Job Title (required)*

Hidden

Date of Birth (required)*

Hidden

Work Address (required)

Street Address City County Postal code

Hidden

Work Telephone Number (required)*

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Work Telephone Number (required)*

Name of the Trust you work for (required)*

DISCLAIMER:*

You must fill in all the required fields when registering. As an NHS employee, you confirm that the information entered is true. Upon verification, if the information you have provided is found to be incorrect, for whatsoever reason, we reserve the right to cancel your Password forthwith.

Check here to indicate that you are agree and have read the disclaimer

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Password

Your temporary generated password will be emailed to you upon approval. You will be able to change it to a password of your choice.