S.L. 94.18 Art. 54Authorisation and object of affixing the seal.

(1) The Registrar, or another officer of the Board authorised in writing by the Chairman of the Board, shall be authorised to affix the seal to all certificates of registration and to all formal commissions issued by the Board.

(2) Save as aforesaid, the seal shall be affixed only by order or under the authority of the Board.

(3) Any order for affixing the seal shall state the object of its use and shall be entered in the minutes of the Board. FIRST SCHEDULE

(Standing Order 39)

FORM OF REGISTERS

BOARD FOR THE PROFESSIONS SUPPLEMENTARY TO MEDICINE - MALTA The .............................. Register

Title to Original Registration Date of Number of Name Address and registration Registration Additional Qualification

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(Standing Order 41) FORM OF APPLICATION FOR REGISTRATION

BOARD FOR THE PROFESSIONS SUPPLEMENTARY TO MEDICINE - MALTA

Application for Registration I apply to be registered under article ............ of the Medical and Kindred Professions Ordinance. My full name is .......................................................................... (Give full name in capital letters, surname underlined)

I was born at ................................ on ......................................... (day, month, year) * My home or permanent address for entry in the Register is

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The address* to which my Certificate of Registration should be sent is ..........................................................................................

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Description of qualifications (s) ..................................................

Date on which conferred .............................................................

University or Body by which granted ..........................................

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Signature of applicant .................................................................

Date of application .....................................................................

*Give these addresses in full. THIRD SCHEDULE

(Standing Order 43) FORM OF CERTIFICATE OF REGISTRATION BOARD FOR THE PROFESSIONS SUPPLEMENTARY TO MEDICINE - MALTA

CERTIFICATE OF REGISTRATION IN THE .......... REGISTER (........................... LIST)

NUMBER ............................. Date ............................. I HEREBY CERTIFY that the following is a true copy of the entry made in the ............................................... List of the .................... Register in respect of the name specified below:

DATE OF REGISTRATION NAME ADDRESS REGISTRATIO QUALIFICATIONS NUMBER N

Seal

Board for the Professions Supplementary to Medicine - Malta REGISTRAR FOURTH SCHEDULE

(Standing Order 48) FORM OF CERTIFICATE OF ALTERATION OF REGISTERED NAME BOARD FOR THE PROFESSIONS SUPPLEMENTARY TO MEDICINE - MALTA CERTIFICATE OF ALTERATION OF NAME IN THE ........................ REGISTER

NUMBER ............................. Date ............................. I HEREBY CERTIFY that the following name has been altered as indicated in the ............................................... Register List of the .................... Register in respect of the name specified below:

NAME NAME AS DATE OF PREVIOUSLY NOW ADDRESS REGISTRATIO QUALIFICATIONS IN REGISTER REGISTERED N

Seal

Board for the Professions Supplementary to Medicine - Malta REGISTRAR