This License is granted upon Ordinance No.31 of the Ministry of Health of 1993.

Ministry of Health, People’s Republic of China

                (Seal)

The bearer shall not be engaged in nursing without registration of Nursing Practice.

THE PEOPLE’S REPUBLIC OF CHINA

LICENSE OF NURSE PRACTICE

                        (Duplicate)

(2003) ***** No.*****

Under supervision of Ministry of Health, the People’s Republic of China

(Photo of the Bearer)

Signature of the bearer

Bearer of this license:

Sex:

Date of Birth:

Nationality:

Place of Birth: