1901_MEDICAL_REGISTRATION_ORDINANCE__1884 — Page 6

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No. 1.] THE ORDINANCES OF HONGKONG : [A.D. 1884.

SCHEDULE.

FORMS.

FORM No. 1.

Medical Register.

PERSONS QUALIFIED TO PRACTISE MEDICINE AND SURGERY.

A.D. 1884.

HONGKONG

Impressed Stamp of $25.

Name.

Address.

Nature of Qualification.

Date of Qualification.

that he is qualified in the said ... passed the ... cal Registr ... the said Or ...

Dated

I, A.B., residing at ...

FORM No. 2.

Declaration.

I do hereby declare that I am a member [or as the case may be] of [here state the college, faculty, or society] and was authorized by such [here state the college, faculty, or society which gave the authority] on the ... day of ...

I ... to practise medicine and surgery, and that I am, by the name of A. B., duly registered in the United Kingdom under the provisions of the Medical Acts, 1858 and 1886, [or as the case may be] of the Imperial Parliament as qualified to practise medicine and surgery.

Declared before me this ... day of ...

(Signed.) C.D.

Justice of the Peace.

(Signed.) A.B.

AN ORDINANCE ... tain Di ...

WHERE ...

WE ...

nec ... duties in ... attaching t ...

Be it ... the ...

of the Legi ...

1. This ... Duties) Or ...

2. All s ... judgment ... criminal ju ...

at the time ...

Ordinance ...

19th day of ... has been m ...

after the e ... Superinten ... for the tim ...

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No. 1.] THE ORDINANCES OF HONGKONG : [A.D. 1884. SCHEDULE. FORMS. FORM No. 1. Medical Register. PERSONS QUALIFIED TO PRACTISE MEDICINE AND SURGERY. A.D. 1884. HONGKONG Impressed Stamp of $25. Name. Address. Nature of Qualification. Date of Qualification. that he is qualified in the said ... passed the ... cal Registr ... the said Or ... Dated I, A.B., residing at ... FORM No. 2. Declaration. I do hereby declare that I am a member [or as the case may be] of [here state the college, faculty, or society] and was authorized by such [here state the college, faculty, or society which gave the authority] on the ... day of ... I ... to practise medicine and surgery, and that I am, by the name of A. B., duly registered in the United Kingdom under the provisions of the Medical Acts, 1858 and 1886, [or as the case may be] of the Imperial Parliament as qualified to practise medicine and surgery. Declared before me this ... day of ... (Signed.) C.D. Justice of the Peace. (Signed.) A.B. AN ORDINANCE ... tain Di ... WHERE ... WE ... nec ... duties in ... attaching t ... Be it ... the ... of the Legi ... 1. This ... Duties) Or ... 2. All s ... judgment ... criminal ju ... at the time ... Ordinance ... 19th day of ... has been m ... after the e ... Superinten ... for the tim ...
Baseline (Original)
No. 1.] THE ORDINANCES OF HONGKONG : [A.D. 1884. SCHEDULE. FORMS. FORM No. 1. Medical Register. PERSONS QUALIFIED TO PRACTISE MEDICINE AND SURGERY. A.D. 188 HONGKONG Im- pressed Stamp of $25. Name. Address. Nature of Qualification. Date of Qualification. that he is q in the said passed the cal Registr the said Or Dated I, A.B., residing at FORM No. 2. Declaration. do hereby declare that I am a member [or as the case may be] of [here state the college, fuenity, or society] and was authorized by such [here state the college, faculty, or society which gave the authority] on the day of I > to practise medicine and surgery, and that I am, by the name of A. B., duly registered in the United Kingdom under the provisions of the Medical Acts, 1858 and 1886, [or as the case may be] of the Imperial Parliament as qualified to practise medicine and surgery. this 1 > Declared before me day of (Signed.) C.D. Justice of the Peace. (Signed.) A.B. AN ORDI tain Di WHER WE nec duties in e attaching t Be it the of the Legi 1. This Duties) Or 2. All s judgment criminal ju at the time Ordinance 19th day of has been m after the e Superinten for the tim
2026-05-02 22:14:28 · Baseline
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No. 1.] THE ORDINANCES OF HONGKONG : [A.D. 1884.

SCHEDULE.

FORMS.

FORM No. 1.

Medical Register.

PERSONS QUALIFIED TO PRACTISE MEDICINE AND SURGERY.

A.D. 188

HONGKONG

Im-

pressed Stamp of $25.

Name.

Address.

Nature of Qualification.

Date of Qualification.

that he is q in the said passed the

cal Registr the said Or

Dated

I, A.B., residing at

FORM No. 2.

Declaration.

do hereby declare that I am a member [or as the case may be] of [here state the college, fuenity, or society] and was authorized by such [here state the college, faculty, or society which gave the authority] on the

day of

I

> to practise medicine and surgery, and that I am, by the name of A. B., duly registered in the United Kingdom under the provisions of the Medical Acts, 1858 and 1886, [or as the case may be] of the Imperial Parliament as qualified to practise medicine and surgery.

this

1

>

Declared before me

day of

(Signed.)

C.D.

Justice of the Peace.

(Signed.)

A.B.

AN ORDI tain Di

WHER

WE

nec

duties in e attaching t

Be it the

of the Legi

1. This Duties) Or

2. All s judgment criminal ju

at the time

Ordinance

19th day of has been m

after the e Superinten for the tim

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