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PMDC Reg Form 2

PMDC Reg Form 2

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Published by hap hazard
registration form of PMDC
registration form of PMDC

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Categories:Types, Resumes & CVs
Published by: hap hazard on Aug 13, 2013
Copyright:Attribution Non-commercial

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01/12/2014

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PM&DC-FORM-IA (MEDICAL)Pakistan Medical & Dental Council
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APP~NDI~:3_~
REQUEST FOR FULL REGISTRATION ON THE REGISTER OF MEDICAL PRACTITIONERS (AfTER HOUSE JOB)TEL: 051-9106151-54 Fax No.051-9106159 ,- ----,
These forms can be downloaded from our website by using Acrobat Reader. Photocopy of this form is also acceptable
PMDC Re istration No
The Registrar Pakistan Medical & Dental CouncilG-IO-/4, Mauve Area, Islamabad.RS.1500/=Rs.1500/=Rs.4000/=
Rs. 1 00/-
DHL ratesSir,I, Dr. S/o, D/o having post.ll address  permanent address have successfully completed one-year compulsory house job after the issue of Prov isional Registration by the PM&DC as per requirement of thePM&DC from a PM&DC approved hospital for conversion of provisional Registration into full registration and have qualified theUniversity/authorized Exam at the end of the structured house job. It is requested that my name may be retained in part A of the medical register and a registration certificate to this effect may kindly be issued to me. I am enclosing the following documents herewith-(i) Original PM&DC Provisional Registration Certificate.(ii) A copy of MBBS degree attested by the Principal..(iii) A copy of (one-year) house job certiticates attested by the M.S. of the PM&DC approved hospital where house job was done.or any professor having valid pm&dc approved hospitalUniversity/ PM&DC authorized Exam result after completion of the Structured House Job(v) Three recent photographs (2 Passport size and one Identity Card size) one attested on front side and then pasted on the formand others on the back (attested by the M.S. of the PM&DC approved hospital where house job was done) with white background and  both ears visible.(Note: Without the above documents and attestations and required fee, the case will not be processed. Fee will be charged for fullregistmtion for five years from the date of registration however courier expenses will be charged if the certificate is required to bedelivered by couriers.Fee for Conversion of Provisional.Registration into full registrationFor extension of provisional registration for one year.Verification of house job/clinical work done in a foreign countryCourier Fee with in PakistanCourier Fee out side Pakistan
(iv)
1.Registrar dated eign exchange through BanAN MEDICAL & DENTALour website branch and will inform the Registrar,ve never been registered withy information from any of myake that if there has been anso immediately and shall notntrary to PM&DC rules. [ amof authenticity of documentsAssessin boFee for verification of registration/goodstanding overseasRS.I000/=Foreign Nationals and Pakistani doctors applying from foreign countries should pay equivalent amount in for Draft/Cashier's Cheque of a recognized bank payable in Pakistan in favour of bank account titled "PAKISTCOUNCIL" (without mentioning account number). For further details to submit fee while being abroad kindly visitA bank draft/pay order of Rs.____ No. DateName of issuing(Name & Registration No. of Doctor must be written on the backside of bank draft)Cash can be deposited at the Faysal Bank Limited counter in the PM&DC office Islamabad.Details of House Job
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Name of HospitalSpeciality FromTo
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Undertaking:I undertake to abide by the Code of Ethics prescribed by the PM&DC for registered MedicaVdental practitioner Pakistan Medical and Dental Council of any change of address of residence or practice with in thirty days.I ha?M&DC in the past. If considered necessary, PM&OC may disclose any information when asked for or obtain aneducational institution and I liberate PM&DC and the institution for any liability for this action. I further underterroneous entry in the certificate and I am told by the PM&DC to send the certificate back to PM&DCI shall dotake any benefit of the error. Above information is correct and nothing has been concealed and if found false or coliable for necessary action by the Council which may lead to cancellation of registration. I take full responsibilitysubmitted along with application NameSignaturedateCell phonee.mail (essential)
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(For
office use only)
Received Rs.(Rupees) vide receipt No.Registration renewed on this day of & valid uptoIID Card issuedINot issued AssistantSuperintendentAssistant/Deputy Registrar 

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