I,
of
Dentists Registration.
[CAP. 156
FORM 4.
Dentists Registration Ordinance.
(Chapter 156 of the Revised Edition).
Application for registration under
section 7 (a), (b), (c) and (e).
hereby apply for registration as a dentist.
*(a) I am registered under the Dentistry Ordinance, 1914,
or
*(b) I hold the qualifications set out below entitling me to
registration under the Ordinance.
Declared at Hong Kong this
day of
19
Before me,
}
Justice of the Peace or Notary Public
Hong Kong.
*Strike out inapplicable paragraph.
207
Photograph (passport size)