【法规名称】
【法规编号】 44040 什么是编号？
【正 文】
第8页 CAP 359A MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS
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[接上页] ................................................................................................ ................................................................................................ CERTIFICATION OF REGISTRATION SERIAL NO. : .............................................................................................. DATE OF REGISTRATION : .............................................................................................. REMARKS : .............................................................................................. ................................................................................................ Photograph ........................................ Secretary, Medical Laboratory Technologists Board. (Enacted 1990) Cap 359A Sched 2 [regulations 7, 9, 14, 23 & 42] FORM 1 [regulation 7(1) SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS Application for Registration/Provisional Registration as a Medical Laboratory Technologist 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 medical laboratory technologist and request that my name be placed on Part ............ of the Register. 2. I hold the following qualifications ...................................................................................... ............................................................................................................................................. ............................................................................................................................................. 3. I have the following professional experience ...................................................................... ............................................................................................................................................. ............................................................................................................................................. 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) * Barrister/Commissioner for Oaths/Medical laboratory technologist registered in Part I of the Register/Registered medical practitioner/Solicitor Photograph of Applicant + Please supply details of conviction. * Delete as inappropriate. (47 of 1997 s. 10) FORM 2A [regulation 9(1)] MEDICAL LABORATORY TECHNOLOGISTS BOARD HONG KONG SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE (Chapter 359) Certificate of Registration Number on Register: ......................... This is to certify that ...................................................................................................... whose address is ................................................................................................................... ............................................................................................................................................. and whose photograph appears hereon was on the .............. day of ............ 19 ...... admitted to Part .......... of the Register of Medical Laboratory Technologists. |
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