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[接上页] (Enacted 1990) Cap 359B Sched 1 Register of Occupational Therapists [regulation 3] SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) OCCUPATIONAL THERAPISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS PART I REGISTRATION NO. : ............................................................................................. NAME : ..................................................................( ) ADDRESS : ............................................................................................. BUSINESS ADDRESS : ............................................................................................. QUALIFICATIONS AND DATE OBTAINED : ............................................................................................. ............................................................................................. DETAILS OF WORKING EXPERIENCE : ............................................................................................. ............................................................................................. ............................................................................................. ............................................................................................. CERTIFICATE OF REGISTRATION SERIAL NO. : ............................................................................................. DATE OF REGISTRATION : ............................................................................................. REMARKS : ............................................................................................. ............................................................................................. Photograph ................................................... Secretary, Occupational Therapists Board. (Enacted 1990) PART II REGISTRATION NO. : ............................................................................................. NAME : ..................................................................( ) ADDRESS : ............................................................................................. BUSINESS ADDRESS : ............................................................................................. QUALIFICATIONS AND DATE OBTAINED : ............................................................................................. ............................................................................................. DETAILS OF WORKING EXPERIENCE : ............................................................................................. ............................................................................................. ............................................................................................. ............................................................................................. CERTIFICATE OF REGISTRATION SERIAL NO. : ............................................................................................. DATE OF REGISTRATION : ............................................................................................. REMARKS : ............................................................................................. Photograph .................................................... Secretary, Occupational Therapists Board. (Enacted 1990) PART III REGISTRATION NO. : ............................................................................................. NAME : ..................................................................( ) ADDRESS : ............................................................................................. BUSINESS ADDRESS : ............................................................................................. QUALIFICATIONS AND DATE OBTAINED : ............................................................................................. ............................................................................................. DETAILS OF WORKING EXPERIENCE : ............................................................................................. ............................................................................................. ............................................................................................. ............................................................................................. CERTIFICATE OF REGISTRATION SERIAL NO. : ............................................................................................. DATE OF REGISTRATION : ............................................................................................. REMARKS : ............................................................................................. ............................................................................................. Photograph ................................................ Secretary, |