1956-HKRS30-8-46_Part01 — Page 27

Dated this Number on register

Photograph (passport size)

16

day of

, 19

Registrar,

by authority of the Dental Board,

Foxм 4.

DENTISTS REGISTRATION ORDINANCE.

(Chapter 156).

Certificate of Admission to the Register of Dentists-

This is to certify that

section 0.

17

FORM 5.

DENTISTS REGISTRATION ORDINANCE.

(Chapter 156).

[rag. 10.]

Annual Practising Certifiente-section 11.

This is to certify thal

whose registered address la

and who was admitted to the Dental Register on the

19

་

day of

is entitled to practise dentistry within the Colony up to the 31st December, 19

Dated this

day of

1

19

[reg. 9.)

Photograph (passport size)

Registrar,

by authority of the Dental Board.

whose registered address is

and whose photograph appears hereon was on the

19

day of

admitted after examination to the register of dentists under section 7(e) of the Dentists Registration Ordinance.

Dated this

Number on register

day of

19

Sir/Madam,

FORM 8.

DENTISTS REGISTRATION ORDINANCE.

(Chapter 156).

Notice of Inquiry.

[reg. 18(1)]

[date]

Photograph (passport size)

Registrar,

by authority of the Dental Board.

On behalf of the Dental Board notice is hereby given to you that in consequence of (a complaint made against you to the Board) or (information received by the Board) an inquiry is to be held into the following charge(s) against you:-

(If the charge relates to conviction) That you were on the day of

** 19.....

......................... at (specify court recording the conviction) convicted of (set out particulars of the conviction in sufficient detail to identify the case).

of

(If the charge relates to conduct) That you (set out briefy the facts alleged); and that in relation to the facts alleged you have been guilty of unprofessional conduct.

or