【法规名称】
【法规编号】 44026 什么是编号？
【正 文】
第10页 CAP 359H RADIOGRAPHERS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION
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[接上页] REMARKS : ................................................................................................... ................................................................................................... Photograph ............................................. Secretary, Radiographers Board. PART IV (Category D) REGISTRATION NO. : ................................................................................................... NAME : .................................................................. ( ) ADDRESS : ................................................................................................... BUSINESS ADDRESS : ................................................................................................... QUALIFICATIONS AND DATE OBTAINED : ................................................................................................... ................................................................................................... DETAILS OF WORKING EXPERIENCE : ................................................................................................... ................................................................................................... CERTIFICATE OF PROVISIONAL REGISTRATION SERIAL NO. : ................................................................................................... DATE OF REGISTRATION : ................................................................................................... REMARKS : ................................................................................................... ................................................................................................... Photograph ............................................. Secretary, Radiographers Board. PART IV (Category T) REGISTRATION NO. : ................................................................................................... NAME : .................................................................. ( ) ADDRESS : ................................................................................................... BUSINESS ADDRESS : ................................................................................................... QUALIFICATIONS AND DATE OBTAINED : ................................................................................................... ................................................................................................... DETAILS OF WORKING EXPERIENCE : ................................................................................................... ................................................................................................... CERTIFICATE OF PROVISIONAL REGISTRATION SERIAL NO. : ................................................................................................... DATE OF REGISTRATION : ................................................................................................... REMARKS : ................................................................................................... ................................................................................................... Photograph ............................................. Secretary, Radiographers Board. Cap 359H Sched 2 FORMS [sections 4(1), 9, 13, 26(2) & 45(2)] FORMS FORM 1 [section 4(1)] SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) RADIOGRAPHERS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION Application for Registration/Provisional Registration as a Radiographer I .............................................................................................................................. of (name in both English and Chinese) .................................................................................................................................. being (correspondence or home address) qualified for registration under section 12(1)*(a)/(b)/(c)/section 15 of the Supplementary Medical Professions Ordinance apply for *registration/provisional registration as a radiographer and request that my name be placed on Part .................. (Category ....................) of the Register. 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) .............................................................................................................................. |
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