1964_DENTISTS_(REGISTRATION_AND_DISCIPLINARY_PROCEDURE)_REGULATIONS — Page 16

A 16

CAP. 156]

Dentists (Registration and Disciplinary Procedure) Regulations

[1977 Ed.

[Subsidiary]

L.N. 177/77.

L.N. 177/77.

of......

I

FORM 2

DENTISTS REGISTRATION ORDINANCE

(Chapter 156)

APPLICATION FOR REGISTRATION AS A DENTIST BY

AN APPLICANT RESIDENT IN HONG KONG

[reg. 5.]

I apply for registration as a registered dentist in accordance with section 9 of the Dentists Registration Ordinance.

2. I have not been convicted in Hong Kong or elsewhere of any offence punishable with imprisonment, nor have I ever been found guilty of misconduct in a professional respect.

3. I hold the following qualifications-

Declared at Hong Kong

this

19

day of.....

}

Before me,

Barrister-at-law, Commissioner for Oaths, Justice of the Peace, Minister of Religion, Registered Dentist or Solicitor.

FORM 2A

DENTISTS REGISTRATION ORDINANCE

(Chapter 156)

APPLICATION FOR REGISTRATION AS A DENTIST BY AN APPLICANT RESIDENT OUTSIDE HONG KONG

Photograph

[reg. 5.]

of......

I

apply for registration as a registered dentist in accordance with section 9 of the Dentists Registration Ordinance.

2. (a) My permanent address is

;

and

(b) My address for correspondence in Hong Kong is

3. I have not been convicted in Hong Kong or elsewhere of any offence punishable with imprisonment, nor have I ever been found guilty of misconduct in a professional respect.