Gesundheitsberuferegister S 1 – Antrag auf Eintragung in das GBR – PA/PFA (Jänner 2020) Instructions

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This form contains 61 fields organized into 11 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Academic Titles
Academic Title Before Name Text
Please enter any academic titles or degrees that should appear before the applicant's name.
Academic Title After Name Text
Please enter any academic titles or degrees that should appear after the applicant's name.
Applicant Birth Information
Birth Date Date
Please provide the applicant's date of birth.
Birth Name Text
Please provide the applicant's birth name (maiden name).
Place of Birth Text
Please provide the applicant's place of birth.
Country of Birth Text
Please provide the applicant's country of birth.
Nationality Text
Please provide the applicant's nationality.
Applicant Gender
Female Radiobutton
Check this box if the applicant's gender is female.
Male Radiobutton
Check this box if the applicant's gender is male.
Diverse Radiobutton
Check this box if the applicant's gender is diverse or non-binary.
Applicant Name
Applicant First Name Text
Please provide the first name(s) of the applicant.
Applicant Last Name Text
Please provide the last name(s) of the applicant.
Authorized Recipient Name
Authorized Recipient First Name Text
Please provide the first name(s) of the authorized recipient.
Authorized Recipient Last Name Text
Please provide the last name(s) of the authorized recipient.
Contact Information for Official Communication
Official Communication Telephone Number Text
Enter the telephone number for official communication.
Official Communication Email Address Text
Enter the email address for official communication.
Delivery Address in Austria
Delivery Address c/o Company/Organization Text
Please provide the name of the company or organization for the delivery address in Austria.
Delivery Address Postal Code Text
Please enter the postal code for the delivery address in Austria.
Delivery Address City Text
Please enter the city for the delivery address in Austria.
Delivery Address Street Text
Please enter the street name for the delivery address in Austria.
Delivery Address House Number Text
Please enter the house number for the delivery address in Austria.
Delivery Address Stair/Door Text
Please enter the stairwell or door number for the delivery address in Austria.
Electronic Correspondence Consent
Electronic Correspondence Consent Checkbox
Check this box if you agree to receive correspondence primarily electronically.
General
Phone Number Text
Provide your phone number if you wish for it to be published in the public register.
E-Mail Text
Provide your e-mail address if you wish for it to be published in the public register.
Website Address Text
Provide your website address if you wish for it to be published in the public register.
Foreign Language Skill 1 Text
Enter the first foreign language you are proficient in.
Foreign Language Skill 2 Text
Enter the second foreign language you are proficient in.
Foreign Language Skill 3 Text
Enter the third foreign language you are proficient in.
Foreign Language Skill 4 Text
Enter the fourth foreign language you are proficient in.
Type of Qualification Certificate Combobox
Specify the type of certificate that proves your qualification.
Bachelorurkunde Diplom --- Anerkennungs-/Nostrifikationsbescheid Zeugnis
Place of Issue Text
Enter the location where the qualification certificate was issued.
Date of Issue Date
Enter the date when the qualification certificate was issued.
Issuing Institution Text
Provide the name of the institution that issued your qualification certificate.
Country of Initial Professional Qualification Text
Enter the country where you obtained your initial professional qualification.
Berufsanerkennung mit Auflagen Ja Radiobutton
Check this box if you have professional recognition with conditions.
Berufsanerkennung mit Auflagen Nein Radiobutton
Check this box if you do not have professional recognition with conditions.
Social Care Profession 1 Combobox
Enter the first social care profession you wish to list.
Fachsozialbetreuer/in Behindertenarbeit Diplomsozialbetreuer/in Familienarbeit Diplomsozialbetreuer/in Altenarbeit Diplomsozialbetreuer/in Behindertenarbeit Fachsozialbetreuer/in Altenarbeit ---
Social Care Profession 2 Text
Enter the second social care profession you wish to list.
Specialization 1 Text
Enter the first specialization or special training you have completed.
Specialization 2 Text
Enter the second specialization or special training you have completed.
Specialization 3 Text
Enter the third specialization or special training you have completed.
Further Education 1 Combobox
Enter the first further education program you have completed.
Validation Kinästhetik Ethik in der Pflege Pflege bei psychiatrischen Erkrankungen Pflege von Kindern und Jugendlichen Basale Stimulation in der Pflege Kultur- und gendersensible Pflege Gerontologische Pflege Hauskrankenpflege Pflege von chronisch Kranken Pflege bei Demenz Palliativpflege Pflege von behinderten Menschen --- Forensik in der Pflege
Further Education 2 Combobox
Enter the second further education program you have completed.
Validation Kinästhetik Ethik in der Pflege Pflege bei psychiatrischen Erkrankungen Pflege von Kindern und Jugendlichen Basale Stimulation in der Pflege Kultur- und gendersensible Pflege Gerontologische Pflege Hauskrankenpflege Pflege von chronisch Kranken Pflege bei Demenz Palliativpflege Pflege von behinderten Menschen --- Forensik in der Pflege
Further Education 3 Combobox
Enter the third further education program you have completed.
Validation Kinästhetik Ethik in der Pflege Pflege bei psychiatrischen Erkrankungen Pflege von Kindern und Jugendlichen Basale Stimulation in der Pflege Kultur- und gendersensible Pflege Gerontologische Pflege Hauskrankenpflege Pflege von chronisch Kranken Pflege bei Demenz Palliativpflege Pflege von behinderten Menschen --- Forensik in der Pflege
Advanced Training 1 Text
Enter the first advanced training program you have completed.
Advanced Training 2 Text
Enter the second advanced training program you have completed.
Advanced Training 3 Text
Enter the third advanced training program you have completed.
Target Group 1 Combobox
Enter the first target group you work with or are qualified for.
Kinder und Jugendliche alte Menschen Sonstige --- Erwachsene
Target Group 3 Combobox
Enter the third target group you work with or are qualified for.
Kinder und Jugendliche alte Menschen Sonstige --- Erwachsene
Target Group 2 Combobox
Enter the second target group you work with or are qualified for.
Kinder und Jugendliche alte Menschen Sonstige --- Erwachsene
Target Group 4 Combobox
Enter the fourth target group you work with or are qualified for.
Kinder und Jugendliche alte Menschen Sonstige --- Erwachsene
Place and Date of Declaration Text
Enter the place and date when this declaration was made.
Main Residence Address
Main Residence State/Country Text
Please enter the state or country of the main residence.
Main Residence Postal Code Text
Please enter the postal code of the main residence.
Main Residence City/Town Text
Please enter the city or town of the main residence.
Main Residence Street Text
Please enter the street name of the main residence.
Main Residence House Number Text
Please enter the house number of the main residence.
Main Residence Staircase/Door Text
Please enter the staircase or door number of the main residence.
Profession Type
Pflegeassistentin - Pflegeassistent Radiobutton
Check this box if you are applying for registration in the health professions register as a Nursing Assistant.
Pflegefachassistentin - Pflegefachassistent Radiobutton
Check this box if you are applying for registration in the health professions register as a Professional Nursing Assistant.