CAP. 161]

Medical Registration.

FORM 2.

[s. 11(2).]

CERTIFICATE OF QUALIFICATION FOR REGISTRATION IN THE REGISTER.

HONG KONG

Impressed Stamp.

$25.

This is to certify that A.B. has satisfied the Medical Board that he is duly registered according to law as a medical practitioner in

and

therein is entitled to practise medicine, surgery and midwifery, and also that he is entitled to be registered by the General Council of Medical Education and Registration of the United Kingdom (or that he holds the degree of

of the University of Hong Kong, or that he holds a degree, diploma or licence in medicine and surgery of

which is a medical school the degrees, diplomas and licences of which are recognized as entitling to registration by the General Council of Medical Education and Registration of the United Kingdom); that he is of good character; and that he is entitled to be registered in the register under the Medical Registration Ordinance (Chapter 161 of the Revised Edition).

Dated the

day of

By order,

262

19.......

C.D.

Secretary of the Medical Board.

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