【法规名称】
【法规编号】 44022 什么是编号？
【正 文】
第8页 CAP 359J PHYSIOTHERAPISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION
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[接上页] 2. I hold the following qualifications (please state qualifications obtained in chronological order): Qualification Issuing Authority Date Issued 3. I have the following professional experience (please state professional experience obtained in chronological order): Post Title Name of Organization/Company Period From To 4. My business address(es) *is/are as follows: (English) ............................................................................................................................... ............................................................................................................................................. (Chinese) .............................................................................................................................. ............................................................................................................................................. 5. My telephone numbers are .................................... (Home) ................................ (Office) 6. I *+have/have not been convicted in Hong Kong or elsewhere of an offence punishable with imprisonment. I *have/have not been found guilty in Hong Kong or elsewhere of unprofessional conduct. I *am/am not the subject of an existing order under section 22(1)(i) or (ii) of the Supplementary Medical Professions Ordinance. I declare that the information given in this application is correct to the best of my knowledge and belief. Signed at .................................................. ｝ .............................................. the ................... day of .................. 19 ...... (Signature of Applicant) Before me, .................................................................... ........................................... (Name in block letters) (Signature) * Commissioner for Oaths/ Solicitor/Barrister/Part Ia Physiotherapist/ Registered Medical Practitioner. Photograph of Applicant + Please supply details of conviction. * Delete if inappropriate. (47 of 1997 s. 10) FORM 2A [section 9(1)] PHYSIOTHERAPISTS BOARD HONG KONG SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) Certificate of Registration Number of Register : ....................... This is to certify that ...................................................................................................... whose photograph appears hereon was on the .......................... day of .................................... 19 ........... admitted to Part Ia of the Register of Physiotherapists. Dated this ................. day of .......................... 19 ........ Photograph ............................................... Secretary, Physiotherapists Board. (L.N. 89 of 2004) FORM 2B [section 9(1)] PHYSIOTHERAPISTS BOARD HONG KONG SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) Certificate of Registration Number of Register : ....................... This is to certify that ...................................................................................................... whose photograph appears hereon was on the .......................... day of .................................... 19 ........... admitted to Part Ib of the Register of Physiotherapists. Dated this ................. day of ....................... 19 ........ Photograph ............................................... Secretary, Physiotherapists Board. (L.N. 89 of 2004) FORM 2C [section 9(2)] PHYSIOTHERAPISTS BOARD HONG KONG SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) Certificate of Provisional Registration Number of Register : ....................... This is to certify that ...................................................................................................... whose photograph appears hereon was on the .......................... day of .................................... 19 ........... admitted to Part II of the Register of Physiotherapists subject to the under-mentioned conditions. Conditions imposed pursuant to section 15(3) of the Supplementary Medical Professions Ordinance- Dated this ................. day of ....................... 19 ........ Photograph ............................................... Secretary, Physiotherapists Board. (L.N. 89 of 2004) FORM 3 [section 14] SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) PHYSIOTHERAPISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION Particulars of a Company carrying on the Business of Practising Physiotherapy Presented by ................................................................................................................. (Name of Company)of ......................................................................................................................................... (Registered Business Address)............................................................................................................................................. |
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