1962-HKRS30-8-53_Part05 — Page 47

2

FORM 2.

Certificate of Registration of clinic not exempted from sections 6 and 7 of the Ordinance.

MEDICAL CLINICS ORDINANCE, 1963.

(No. 27 of 1963).

CERTIFICATE OF REGISTRATION No.

(Valid until/for

·

196

1

[reg. 3.]

THIS IS TO CERTIFY that the undermentioned clinic is registered in the register of clinics under the Medical Clinics Ordinance, 1963–

Particulars of clinic:-

Name (In English)

(In Chinese)

Address

Particulars of person registered in respect of above clinic :-

Name (Lo English}

(In Chinese)

Particulars of person registered in respect of the above clinic : -

Name (In English)

Address

(Ia Chinese)

Particulars of person (if any) nominated by the Registrar of Clinics pursuant to a condition imposed under paragraph (b) of subsection (2) of section 8 of the Medical Clinics Ordinance, 1963;-

Noter

Name (In English)

Address

(In Chinese)

(1) The registration of the above-named person in respect of the above-named clinic and the exemption hereby certified is granted subject to the conditions respectively specified

Chere indicate where conditions are specified, eg, overleaf, or—in the annexure bereto marked ***KOKOT..................... or a the case may be).

(2) The exemption hereby certified, unless sooner cancelled by the Registrar, shall cease to have effect on the 31st December, 1956.

Address

Particulars of registered medical practitioner appointed pursuant to section 7 of the Medical Clinics Ordinance, 1963:-

Note:

Name (la English)

(In Chinese)

Address

Registration of the above-named person in respect of the above-named clinic is subject to the conditions specified in

(here indicate where conditions are specified. e.g. overleaf, or-in the annexure hereto marked

or as the case may be). day of

Dated this

196......

Registrar of Clinics.

FORM ).

Certificate of Registration of clinic exempted from sections 6 and 7 of the Ordinance.

MEDICAL CLINICS ORDINANCE, 1963.

(No. 27 of 1963).

CERTIFICATE OF REGISTRATION AND EXEMPTION NO.

[neg. 3.]

TRUS IS TO CERTIFY that the undermentioned clinic is registered in the register of clinics under the Medical Clinics Ordinance, 1963, but is exempted from the provisions of sections 6 and 7 of the aforesaid Ordinance:

Particulars of clinic:-

Name (In English)

(La Chinese)

Address

Dated this

day of

196......

Registrer of Clinics.

Clerk of Councils/

COUNCIL CHAMBER,

3rd December, 1963.

(Secretariat CR3862/5701)