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【法规名称】 
【法规编号】 44026  什么是编号?
【正  文】

第11页 CAP 359H RADIOGRAPHERS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATION

[接上页]

  .............................................................................................................................................
  
  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)
  
  * Radiographer registered in Part I of the Register/Barrister/Solicitor/Registered Medical Practitioner/Commissioner for Oaths.
  
  Photograph
  
  of
  
  Applicant
  
  + Please supply details of conviction.
  
  * Delete if inappropriate.
  
  (47 of 1997 s. 10)
  
  FORM 2A
  
  [section 9(1)]
  
  RADIOGRAPHERS BOARD
  
  HONG KONG
  
  SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
  
  (Chapter 359)
  
  Certificate of Registration
  
  Number of Register: ..................
  
  This is to certify that ...................................................................................................... whose address is ................................................................................................................... and whose photograph appears hereon was on the .............. day of ............................ 19 ........ admitted to Part .......... (Category ..........) of the Register of Radiographers.
  
  Dated this .......... day of ........................ 19 ..........
  
  Photograph
  
  .............................................
  
  Secretary,
  
  Radiographers Board.
  
  (L.N. 90 of 2004)
  
  FORM 2B
  
  [section 9(2)]
  
  RADIOGRAPHERS BOARD
  
  HONG KONG
  
  SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
  
  (Chapter 359)
  
  Certificate of Provisional Registration
  
  Number of Register: ......................
  
  This is to certify that ...................................................................................................... whose address is ............................................................................................................. and whose photograph appears hereon was on the ............. day of ................................... 19 ........ admitted to Part IV (Category ....................) of the Register of Radiographers subject to the undermentioned conditions.
  
  Conditions imposed pursuant to section 15(3) of the Supplementary Medical Professions Ordinance-
  
  Dated this .......... day of ..................... 19 .......
  
  Photograph
  
  .............................................
  
  Secretary,
  
  Radiographers Board.
  
  (L.N. 90 of 2004)
  
  FORM 3
  
  [section 13]
  
  SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE
  
  (Chapter 359)
  
  RADIOGRAPHERS (REGISTRATION AND DISCIPLINARY
  
  PROCEDURE) REGULATION
  
  Particulars of a Company carrying on the
  
  Business of Practising Radiography
  
  Presented by .................................................................................................................
  
  (Name of Company)
  
  of .........................................................................................................................................
  
  (Registered Business Address)
  
  .............................................................................................................................................
  
  (Business Registration Certificate No.)
  
  Particulars of the names and addresses of all persons who are professionally qualified directors, other directors or managers of the above company in respect of the business of radiography carried on by it at ................................................................................................ ............................................................................................................................................. under the name of .................................................................................................................
  
  Name in
  
  full
  
  Position
  
  Certificate of
  
  Registration
  
  No. and Date of
  
  Registration
  
  where Directors
  
  are registered
  
  Part and
  
  Category
  
  registered
  
  in
  
  Residential
  
  address
  
  and of persons who practise radiography in connection with the business of the said company in the above.
  
  Name
  
  in
  
  full
  
  Residential
  
  address
  
  Occupation
  
  Qualifications
  
  Certificate
  
  of
  
  Registration
  
  No. and Date
  
  of
  
  Registration
  
  Part
  
  and
  
  Category
  
  registered
  
  in
  
  Duties
  
  Performed
  
  Dated this ........... day of ......................... 19 ........
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