Punjab Medical Council Registration Form PDF Details

Are you a medical professional in the Punjab region and looking for information about registration for the Medical Council of Punjab? Look no further! Here, we have put together all of the vital information you need to know on this particular topic. This guide will provide step-by-step instructions on how to submit your registration form correctly, as well as offering guidance if your application is rejected or delayed. With this post, you’ll be able to smoothly navigate through the council’s process and make sure that everything is completed correctly before having it submitted. Read on to learn more!

QuestionAnswer
Form NamePunjab Medical Council Registration Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namespunjabmedicalcouncil, pmc registration, pmc registration online, punjab medical council registration renewal

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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Filling out this document needs care for details. Make certain every blank field is completed properly.

1. The punjab medical council will require specific details to be inserted. Ensure the next blank fields are filled out:

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

3. Completing All formalities completed May, Superintendent, Submitted for approval signature, and Registrar is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

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

4. The subsequent part arrives with these particular blanks to enter your details in: I agree to all the terms of Punjab, unconditionally, Signature, Self attested, and Name Registration No PMC Place.

Part no. 4 of filling out pmc registration online

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