UC Nursing Student ID Request
Name
*
First Name
Last Name
Email
*
example@example.com
UC ID (also referred to as M number)
*
Current address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Passport photo (.jpg file format, maximum size 60K)
*
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Photo should be color and taken in the last 6 months on a solid white background. No borders, no shadows, properly focused. Ensure you are the only person and that there are no obscure objects in photo. No hats or sunglasses. Eyeglasses should be worn if normally used (no glare on eyeglasses). Head coverings are allowed if worn for religious purposes. Head should be positioned directly facing camera, centered and compose 80% of image. Eyes open and looking at camera. Have a natural expression.
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Copy of driver's license
*
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Should be Empty: