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    Borang MMC

    Uploaded by

    Yussida Mohamad
    This document contains an application form for full registration as a medical practitioner in Malaysia. It requests information such as the applicant's name, provisional registration number, residential and postal addresses, and attachment of certificates proving experience requirements are met under Section 13 of the Medical Act. The applicant must sign and date the form. A second document contains a curriculum vitae form for registration. It requests personal details of the applicant such as name, identity card number, date of birth, citizenship, religion, address, contact number, gender, marital status, basic medical qualification details and submission instructions.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Borang MMC

    Uploaded by

    Yussida Mohamad
    31 views3 pages
    This document contains an application form for full registration as a medical practitioner in Malaysia. It requests information such as the applicant's name, provisional registration number, residential and postal addresses, and attachment of certificates proving experience requirements are met under Section 13 of the Medical Act. The applicant must sign and date the form. A second document contains a curriculum vitae form for registration. It requests personal details of the applicant such as name, identity card number, date of birth, citizenship, religion, address, contact number, gender, marital status, basic medical qualification details and submission instructions.

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    borang_mmc

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    This document contains an application form for full registration as a medical practitioner in Malaysia. It requests information such as the applicant's name, provisional registration number, residential and postal addresses, and attachment of certificates proving experience requirements are met under Section 13 of the Medical Act. The applicant must sign and date the form. A second document contains a curriculum vitae form for registration. It requests personal details of the applicant such as name, identity card number, date of birth, citizenship, religion, address, contact number, gender, marital status, basic medical qualification details and submission instructions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views3 pages

    Borang MMC

    Uploaded by

    Yussida Mohamad
    This document contains an application form for full registration as a medical practitioner in Malaysia. It requests information such as the applicant's name, provisional registration number, residential and postal addresses, and attachment of certificates proving experience requirements are met under Section 13 of the Medical Act. The applicant must sign and date the form. A second document contains a curriculum vitae form for registration. It requests personal details of the applicant such as name, identity card number, date of birth, citizenship, religion, address, contact number, gender, marital status, basic medical qualification details and submission instructions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    ACT 50

    FORM 9
    (REGULATION 22)
    MEDICAL ACT, 1971
    [Section 14(1)]
    MEDICAL REGULATIONS 1974
    APPLICATION FOR FULL REGISTRATION

    1.

    Full name of applicant:

    ..

    2.

    Provisional Registration Certificate No: ..

    3.

    (a)

    Residential address:

    ..

    ..
    ..
    (b)

    Address for postal communication (if different)


    ..
    ..

    4.

    I attach the following documents in proff of having satisfied the requirement as


    to experience under Section 13 of the Medical Act

    (a) Certificate under Section 13(2) of the Medical Act

    (b) Certificate under Section 13(3) of the Medical Act

    (c) Certificate of exemption issued under Section 13(6) of the Medical Act.

    Date:.

    ...
    Signature of applicant
    __

    Delete whichever is inapplicable

    MAJLIS PERUBATAAN MALAYSIA


    (MALAYSIAN MEDICAL COUNCIL)
    Curriculum Vitae of Application
    For Registration
    Foto

    1.

    Full Name of Applicant:


    (Block Letters)
    ...
    ...

    2.

    Identity Card No:/Colour:.. 3.

    Date of Birth:..

    4.

    Citizenship: .. 5.

    Religion:.

    6.

    Present Address: .
    7. Tel. No:

    8.

    Sex:

    9. Marital Status:

    10.

    If Married:
    Name Of Spouse:
    (Capital Letters)

    11.

    ..

    Basic Medical Qualification:


    11.1

    Bonafide Student Of: ..


    (Graduate from India, Pakistan and Bangladesh)

    11.2

    University Granting Qualification: ..

    11.3

    Description of Qualification:

    11.4

    Description of Qualification:

    Please fill up in two (2) copies:


    Paid RM.receipt no.:..dated:..
    Provisional Registration No.:
    Full Registration No.:

    Please submit your application to:


    The Secretary
    Malaysian Medical Council
    Ministry of Health
    3rd Floor, Block 4
    Jalan. Cendarasari
    50590 Kuala Lumpur
    (Att: Dr. Mohd Khairi Yaakub)
    No. Tel: (603) 26985077 (Samb. 434/441)
    No. Fak: (603) 26938569

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