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    Renewal of Registration Tibb

    Uploaded by

    Muhammad Akram Khan
    The document is an application form for renewal of registration of practitioners of Unani and Ayurvedic medicine in Pakistan. It requests personal information from applicants such as name, address, education, experience. It also provides instructions on requirements for renewal like fees and documents needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Renewal of Registration Tibb

    Uploaded by

    Muhammad Akram Khan
    8K views2 pages
    The document is an application form for renewal of registration of practitioners of Unani and Ayurvedic medicine in Pakistan. It requests personal information from applicants such as name, address, education, experience. It also provides instructions on requirements for renewal like fees and documents needed.

    Original Description:

    Helpful for registration of Tibb in Pakistan Health Sector

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    © © All Rights Reserved

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    The document is an application form for renewal of registration of practitioners of Unani and Ayurvedic medicine in Pakistan. It requests personal information from applicants such as name, address, education, experience. It also provides instructions on requirements for renewal like fees and documents needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8K views2 pages

    Renewal of Registration Tibb

    Uploaded by

    Muhammad Akram Khan
    The document is an application form for renewal of registration of practitioners of Unani and Ayurvedic medicine in Pakistan. It requests personal information from applicants such as name, address, education, experience. It also provides instructions on requirements for renewal like fees and documents needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    FORM IV-A

    UAH Rules 1980


    GOVERNMENT OF PAKISTAN
    GOVERNMENT OF PAKISTAN MINISTRY OF NATIONAL HEALTH SERVICES REGULATIONS AND COORDINATION

    NATIONAL COUNCIL FOR TIBB ISLAMABAD


    APPLICATION FORM FOR RENEWAL OF REGISTRATION OF
    To PRACTITIONERS OF UNANI & AYURVEDIC SYSTEM OF MEDICINE
    The Registrar, 051-9240074-75
    National Council for Tibb Three Attested
    Islamabad. Copies of
    Passport size
    Particulars of Applicant Photograph

    1. Name in English (BLOCK LETTERS)

    2. Fathers Name (BLOCK LETTERS)

    3. Address (a) Permanent

    (b) Present Postal


    Matab / Clinic
    (d) E-mail
    Date of Birth
    4. 5. Sex Male Female

    6. Religion 7. Nationality

    C.N.I.C. #
    8. 9. NCT Reg. Card No.

    10. NCT Registration No. 11.


    Date of Registration

    12. Date of Renewal 13. Valid upto


    14. Phone # Residence Matab/Clinic Clell #

    Professional Experience

    (i) Teaching Experience


    (ii) Publications
    (iii) Research
    (iv) Practical Experience
    (v) Basic Knowledge of Unani/Ayurevdic
    I solemnly declare that the above information given by me is true to the best of my knowledge and belief, and that
    nothing has been withheld or concealed. I shall abide by the rules and regulations made under the Unani,Ayurvedic &
    Homoeopathic Practitioners Acts, 1965.
    Date Signature of the Applicant

    CERTIFICATE
    I certify that the applicant who has put this signature in my presence is not related to me & that the particulars given by
    him are true to the best of my knowledg.
    Name & Designation

    CNIC #

    Signature & Stamp / Seal

    Note: The certificate must be signed by one of the follwoing:


    1 District Coordinator Officer (DCO) 2 Executive District Officer of Revenues (EDOR).
    3 Superintendent / Deputy Superintendent of Police. 4 Judicial Magistrate. P.T.O.
    5 Gezetted Officer of grade 17 or above. 6 A Member of National Assembly of Provincial Assembly
    Important Instructions
    The application must be accompained by:

    (a) A bank draft of Rs. 510/- in favour of National Council of Tibb , Islamabad.
    (b) Three Attested Copies of passport size photograph of the applicant &
    Photostat of certificate of registration & C.N.I.C duly attested by gazetted officer.

    (60)

    10 510
    (60)

    17

    To be filled by the Applicant

    DD/P.O/Receipt No. Dated Amount (Rs)

    Bank Name, Branch Branch code

    City

    Signature of the Applicant

    For Office Use Only


    Verification of Fee by Accounts Section

    Signature of Accountant
    Found Attached:
    Yes No
    3 Attested Photographs
    Attested Photocopy of C.N.I.C
    Attested Photocopy of Registration Certificate
    Application form duly filled in

    Verified from Original Register. Record Available at Page No.


    Registration No. Registration Date
    May be processed
    Objection (if any)

    Countersigned by Signature with Name


    Incharge Dealing Personnel
    Renewal Certificate Sr. No. Issued on

    Valid upto Entered at Renewal Register Sr. No.

    Date Register NCT


    80

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