582388-1940-Dentists-Regulations-1940 — Page 4

THE HONG KONG GOVERNMENT GAZETTE, JULY 5,

FORM NO. 2.

1940.

Registration of Dentists Ordinance, 1940.

Certificate of Admission to the Register of Dentists. Section 9).

This is to certify that

whose registered address is

and whose photograph appears hereon

has this day been admitted to the register of dentists.

Dated this

day of

19

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Photograph (passport size)

Registrar

by authority of the Dental Board.

FORM NO. 3.

Registration of Dentists Ordinance, 1940.

Annual Practising Certificate. (Section 11).

This is to certify that

whose registered address is

and who was admitted to the Dental Register on the

day

of

19 is entitled to practise Dentistry within the Colony up to the 31st Decernber, 19

Dated this

day of

19

Photograph (passport size)

Registrar

by authority of the Dental Board.

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