Punjab Medical Council Registration Form PDF Details

Navigating the essentials of the Punjab Medical Council Registration form is critical for professionals in the medical field seeking renewal of their registration or applying for a second or subsequent renewal. This comprehensive application process, directed to the Registrar of the Punjab Medical Council, underscores the commitment of medical practitioners to adhere to the highest standards of ethical and professional conduct. Applicants are required to furnish detailed information, including personal particulars, educational qualifications, and working places, alongside a declaration/undertaking that pledges adherence to a strict code of ethics. This includes the commitment to human service, respect for human life from conception, non-discrimination, and the confidentiality of patient information. Additionally, the form outlines the requisite documentation and fees necessary for the renewal process. Understanding the discerning stipulations within this form, including the need for fifty credit hours of continuing medical education (CME) every five years, is imperative for ensuring the uninterrupted practice of medicine within the jurisdiction, highlighting the Council's dedication to maintaining professional excellence and public trust in the healthcare sector.

QuestionAnswer
Form NamePunjab Medical Council Registration Form
Form Length10 pages
Fillable?Yes
Fillable fields89
Avg. time to fill out20 min 18 sec
Other namespunjabmedicalcouncil, punjab medical council renewal of registration, punjab medical council, registration renewal punjab medical council

Form Preview Example

APPLICATION FORM FOR RENEWAL OF REGISTRATION

& 2nd OR SUBSEQUENT RENEWAL OF REGISTRATION

To

The Registrar,

Punjab Medical Council.

Sir,

I am registered with Punjab Medical Council vide Regd. No.___________ dated___________ It is requested that my registration may please be

renewed for the period of 5 years. The information necessary for registration is specified below :-

PARTICULARS

ATTESTED

PHOTO PASTE

HERE

1.

Applicant’s name in full

_________________________________________

2.

Father’s Name

_________________________________________

3.

Date of Birth

_________________________________________

4.

Working places

_________________________________________

 

 

_________________________________________

5.

Mobile No.

_________________________________________

6.

E-mail.

_________________________________________

7.

Qualification

_________________________________________

 

(alongwith Name of Medical

_________________________________________

 

College & University)

_________________________________________

 

 

_________________________________________

8.

Permanent Registration No.

_________________________________________

9.

Any remarks

_________________________________________

10.Bank Draft No. ………………………Dated ………………….Amount…………………

Contd. Page-2

Date___________

Signature of Applicant

 

FOR OFFICE USE ONLY

 

Registration No. __________

Dated ___________20

 

B.D. Receipt No.__________

Dated ___________20

 

Dispatch No. ____________

Dated ___________20

 

 

 

 

 

 

`

All formalities completed. May renew his/her Name.

 

Superintendent

 

Submitted for approval & signature.

 

Registrar

Page-2

FORM OF DECLARATION/ UNDERTAKING AS

TERMS & CONDITIONS

(To be signed by the applicant at the time of applying for

registration/ Renewal/ Specialty registration etc. )

1.I solemnly pledge myself to consecrate my life to service of humanity.

2.Even under threat, I will not use my medical knowledge contrary to the laws of Humanity.

3.I will maintain the utmost respect for human life from the time of conception.

4.I will not permit considerations of religion, nationality, race, party politics or social standing to intervene between my duty and my patient.

5.I will practice my profession with conscience and dignity.

6.The health of my patient will be my first consideration.

7.I will respect the secrets which are confined in me.

8.I will give to my teachers the respect and gratitude which is their due.

9.I will maintain by all means in my power, the honour and noble traditions of medical profession.

10.I will treat my colleagues with all respect and dignity.

11.I shall abide by the code of medical ethics as enunciated in the Indian Medical Council (Professional conduct, Etiquette and Ethics) Regulations 2002 & 2004.

12.I shall inform the Council in writing through Registered Post in care of change of my Address, Mobile Number & E-mail Id..

13.I will not accept or give commissions or cuts for promoting my practice in any way.

14.I will advertise in any way except as permitted under Medical Ethics regulation 2002 & 2004.

15.I also understand that in violation of ethics as well as all other condition provisions under the act. My registration can be suspended/ cancelled by council.

16.I am aware that I have to have Fifty Credit hours by way of CME/as per guidelines every five years for renewal of my registration.

Self attested Verification :

I agree to all the terms of Punjab Medical Council for the registration and agree to abide by that

unconditionally.

Signature…………………………

(Self attested)

Name……………………………..….

Registration No. (PMC)…………….

Place……………………….………..

Address……………………….…….

Mobile No…………………………..

E Mail Id…………………………….

Date………………………..………...

DOCUMENT REQUIRED FOR RENEWAL OF REGISTRATION

&2nd OR SUBSEQUENT RENEWAL OF REGISTRATION

1.Three latest photographs ( One attested & Two non attested )

2.Attested Copy of Permanent Registration Certificate

3.Attested Copy of Additional Qualification Registration Certificate if any.

4.Renewal Registration Certificate in Original for 2nd Or subsequent Renewal.

5.Registration Fee Rs. 1000/- by way of bank draft only in favour of Registrar, Punjab Medical Council, Mohali, Payable at Mohali

6.Restoration/late fee Rs. 1000/- after expiry the grace period of Two (2) months by way of bank draft only in favour of Registrar, Punjab Medical Council, Mohali, Payable at Mohali

Fee Once paid not refundable.

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Simple tips to fill out pmc registration online part 1

2. The third part is usually to complete all of the following fields: Any remarks Bank Draft No Dated, Contd Page, Date, Signature of Applicant, FOR OFFICE USE ONLY, Registration No BD Receipt No, Dated, Dated, Dated, and All formalities completed May.

Completing section 2 in pmc registration online

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All formalities completed May, Submitted for approval signature, and Registrar of pmc registration online

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Part no. 4 of filling out pmc registration online

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