Amendment status not verified — confirm the current text below against the official source.
All cheques on the Bank shall be signed by the Chairman or Vice-Chairman and the Registrar. By Order. K. G. MATHUR Secretary (Medical & Public Health) DELHI ADMINISTRATION, DELHI. FORM A (See Rule 12) (Form of Register of Homoeopaths in Delhi) S. No. Name And Address Qualifica tions Age Place where practisin g Signature of Registrar Date of Registrati on Date of renewal of Registrati on Signature of Registrar Remarks FORM - 'B' (RULE 14) FORM OF CERTIFICATE OF REGISTRATION THE BOARD OF HOMEOPATHIC SYSTEM OF MEDICINE DELHI Certificate No............... Date..................... This is to certify that the person named below has been duly registered as aPRACTITIONER IN HOMEOPATHY and is entitled to all the privileges granted under the Delhi Homeo Act, 1956. In witness whereof are herewith affixed the signature of the Registrar of the Board. Name.................... Address................... Registrar. Form “C” (Rule 15) Form of application For Registration Of Delhi Homeopathic Practitioners (Under Session 24 of the Delhi homeopathic Act,1956) (Important : all particulars in this form must be filled in by the application in neat legible hand incomplete forms are liable to be rejected ) To The Registrar, Board of Homeopathic System of Medicine, Room No. 56, old Secretariat , Delhi 8, Dear Sir, I request that my name may be entered in the register of pratictioners maintained under the Delhi Homeopathic act, 1956, and that i may be furnished with a certificate of Registration . Necessary Particulars are given below: -- A. Name in full (in block letters ) (Maiden name also in case of married woman)............................................................... b. Father's name(husband's name in case of married woman ) and address ............................................................ c. Age on last birthday ................................................................................. d. Residential Address (in block letters........................................................ e. (i) Number of entry in the Sc. Hedule to Delhi homeopathic Act. 1956. under which registration is sought.................................. (ii) Qualification with reference to relevant entry........................................................................... (Please Attach documents regarding qualifications in original with copies there of certified as true by a Gazetted officer . The Original will be Returned after registration ) The Prescribed fee of Rs. 20/- is remitted here with by postal order /Cheque No.................................dated the ....................................... i here by declare that all the entries in the above form are true to the best of my knowledge and belief. Yours Faihfully Place................................... Date.................................... ( ) (Signature of the Applicant) Note:- Please attach the Certificate required by rule 15 of Delhi homeopathic Rules .