Canadian Registered Nurse Examination

Please specify the examination sitting(s) of interest (e.g. June 2010, or later). Previous Cycle Reports (aggregating the data from the relevant examination sittings) may also be requested.

Please indicate whether you would like to receive the same report(s) in the future on an annual basis.

Person to whom report should be sent:

Title:

Name:

Organization:

E-mail:

Address:

Telephone number:

Should this same person be invoiced?

If “No”, person to whom invoice should be sent:

Name:

E-mail:

Address:

Telephone number: