Nurses and Midwives Council of Belize
Cor. Princess Margaret Drive & St. Joseph Street, Belize City · P.O. Box 933 · Tel: +501 233-3466
Application for Renewal of Licence
Complete all applicable sections. Write clearly in block letters.
Payment must be made before submission.
Attach a clear copy of the payment receipt, proof of 60 hours of continuing education completed within the last two years and photocopies of all required supporting documents. Attach a current police record if available or requested by the Council.
Incomplete application packages may not be processed.
Renewal Fee Schedule
Select the correct category and pay the total shown. All totals include the BZ$20.00 licence-card fee.
| Renewal Category | Total |
|---|---|
| Registered Nurse | BZ$70.00 |
| Registered Nurse + Midwifery | BZ$120.00 |
| Registered Nurse + Clinical Nurse Specialist | BZ$120.00 |
| Registered Nurse + Nurse Practitioner | BZ$120.00 |
| Registered Nurse + Midwifery + Clinical Nurse Specialist | BZ$170.00 |
| Registered Nurse + Midwifery + Nurse Practitioner | BZ$170.00 |
| Nursing Assistant | BZ$50.00 |
| Nursing Assistant + Midwifery | BZ$100.00 |
| Nursing Assistant + Post-Basic Certification | BZ$100.00 |
| Nursing Assistant + Midwifery + Post-Basic Certification | BZ$150.00 |
| Rural Health Nurse | BZ$100.00 |
| Public Health Nurse | BZ$170.00 |
1. Renewal Details
Current Licence / Registration Number
Current Expiry Date
Renewal Period, e.g. 2027-2028
Amount Paid (BZ$)
Credential: Please check as appropriate.
Advance Practice Nurse (APN)
Public Health Nurse (PHN)
Clinical Nurse Specialist (CNS)
Rural Health Nurse (RHN)
Registered Nurse (RN)
Practical Nurse/Midwife (PN/M)
Registered Nurse Midwife (RNM)
Certified Operating Room Technician
Practical Nurse (PN)
Certified Dialysis Nurse
Other: ____________________
2. Applicant Information
Surname
First Name
Middle Name
Civil Status
Sex
Date of Birth
Country of Birth
Country of Residence
Nationality
Phone Number
Email Address
Home Address
3. Employment Information
Present Employer
Employer's Telephone Number
Employer's Address
Current Position/Title
Employment Status
4. Payment Information
Payment Date
Payment Method
Receipt / Transaction Number
Amount Paid (BZ$)
Financial InstitutionBelize Bank Limited
Account NameThe Nurses and Midwives Council of Belize
Account Number233986010120025
Payment ReferenceApplicant's full name and licence number
5. Documents Attached
Copy of payment receipt
Copy of current / most recent licence
Copy of valid identification
Proof of 60 hours of continuing education completed within the last two years
Current police record, if available/requested
Additional documents requested by Council
Other: ____________________
6. Declaration
I declare that the information provided in this application is true and complete. I understand that payment and submission do not guarantee approval and that the Nurses and Midwives Council of Belize may request additional information or original documents.
Signature of Applicant
Registration / License No.
Date