| (ii) |
Every appeal in Form 'G' shall be accompanied by a fee of Rs. 25/- by a crossed postal order or a bank draft in the name of the Secretary, Ministry of Health and Family Welfare, New Delhi. |
FORM A
(See Regulation 4)
Form of application for direct registration under Section 23 of the Homoeopathy Central Council Act, 1973.
To
The Registrar,
Central Council of Homoeopathy.
New Delhi.
Dear Sir,
I hereby request that my name and other particulars as mentioned below may be entered in the Central Register of Homoeopathy as required under Section 23 of the Homoeopathy Central Council Act, 1973.
(1) Full Name
(in block letters beginning with surname)
(2) Maiden name if the applicant is a married
woman and surname
(in block letters beginning with surname).
(3)Nationality.
(4)Residential Address
(5)Professional Address
(6)Date of Birth (Christian Era)
(7) (a) Qualifications for registration possessed
by the applicant.
(b) Date on which the applicant obtained the
qualification..
(c ) Authority which conferred or granted the qualifications..
(d) The place where the applicant received training .
for such qualifications and the period of such training..
(e)The name of the Council/Board where he had .
registered earlier, if any..
II. I forward herewith:
(i) My Birth Certificate/Matriculation Certification/Secondary School Leaving Certificate/School Leaving Certificate in original
(ii) Diploma/Degree Certificate in original in respect of the qualifications possessed by me together with two attested copies thereof.
III. The originals may kindly be returned to me after verification by you.
IV. Registration fee of Rs.1000/- (Rupees One Thousand only) is remitted by postal Order No. ________ Place /Bank Draft No._______.
V. I certify that the particular furnished above are true to the best of my knowledge and belief.
Yours faithfully,
Signature of the applicant.
Date:
Place:
FORM B
(See Regulation 5)
Form of application for registration of additional qualification.
To
The Registrar,
The Central Council of Homoeopathy,
New Delhi.
Dear Sir,
I am a registered practitioner of Homoeopathy my Registration Number is ______I have acquired an additional qualification in Homoeopathy and desire to register the same under Regulation 5 of the Homoeopathy Central Council (Registration) Regulations, 1982. My particulars are as under:-
1.(1) Full name
(in block letters beginning with surname)
(2) Maiden Name, if the applicant is a married
woman and surname
(in block letters beginning with surname).
(3) Nationality.
(4) Residential address
(5) Professional address
(6) Date of Birth (Christian Era)
(7) Additional qualifications sought to be
entered in the register.
(a)The authority which conferred or granted
the additional qualification.
(b)The date on which the qualification was
conferred/granted.
(c) Details of training leading to conferment
of the additional qualification, including the period
of such training.
(8) Number and date of registration in the Central Register.
(9) Number and date of registration in the State Register,.
II. I forward herewith:
(i) the additional Title/Diploma/other qualification (in original).
(ii) two attested copies thereof, attested by one of the persons referred to in clause (iii) of sub-regulation (2) of regulation 4 of the Homoeopathy Central Council (Registration) Regulations, 1982..
(iii) A fee of Five Hundred Rupees only (including service charges of Sixty Rupees ) by crossed Postal Order/Bank Draft in the name of – “The Central Council of Homoeopathy, New Delhi”..
III. The originals may kindly be returned to me after verification by you.
Yours faithfully,
Signature of the applicant.
Date:
Place:
Space
for Photograph
of
Candidate
FORM C
(See Regulations 6(3) and (8)
CENTRAL COUNCIL OF HOMOEOPATHY
Jawahar Lal Nehru Bhartiya Chikitsa Avum Homoeopathy Anusandhan Bhavan
No.61-65, Institutional Area, Opp. ‘D’ Block, Janakpuri, New Delhi-110 058
[Certification Under Section 23 of the Homoeopathy Central Council Act, 1973 (59 of 1973)]
(Registration Certificate)
Certificate No. CCH
| Candidate’s Name |
Father’s and Mother’s Name |
Address |
Qualification |
| (1) |
(2) |
(3) |
(4) |
Space
for
Watermark
[SEAL]
REGISTRAR
CENTRAL COUNCIL OF HOMOEOPATHY
New Delhi
Dated:-
FROM D
[See Regulation 9(1)
Form of General Notice
General Notice is hereby given to all the Registered Practitioners included in Parts I and II of the Central Register of Homoeopathy maintained under the Homoeopathy Central Council Act, 1973 that they have to make an application to the Registrar for continuance of their names on the said Register as provided in regulation 9(1) of the Homoeopathy Central Council (Registration) Regulations, 1982, framed under the said Act.
Individual notices alongwith the prescribed form of application are being sent under certificate of posting to every such Registered Practitioner to the address entered in the said Register. An application in Form F for continuation of the name in the Register should be returned to the undersigned duly completed within 30 days of the issue of this notice. Any Registered Practitioner not receiving the Form by post may obtain it from the office of the Registrar.
Registrar
Central Council of Homoeopathy
Dated:
Place: New Delhi
Under Certificate of Posting
FROM E
[See Regulation 9(2)
Central Council of Homoeopathy
Notice to Registered Practitioners for continuation of their names in the Central Register
To
Dr.____________
_______________
________________
Subject: Individual Notice for continuation of name in the Central Register.
Sir,
Notice is hereby given to you calling upon you to return to the Registrar within thirty days hereof the enclosed application Form (Form F) duly filled in by you for continuance of your name in the Central Register of Homoeopathy.
Yours faithfully
Registrar
Central Council of Homoeopathy.
FROM F
[See Regulation 9(2) and (3)]
Application for the continuation of name in the Central Register
Dated_________
To
The Registrar,
Central Council of Homoeopathy,
New Delhi.
Sub:- Continuation of name in the Register.
Sir,
I request that my name may be continued in the Central Register maintained by the Central Council in Part _____________.
1. My particular are submitted as under:-
(i) Full Name (in block letters beginning with surname).
(ii) Maiden name in full in case of an unmarried woman (in block letters beginning with surname).
(iii) Registration No.
(iv) Date upto which it is renewed,
(v) Qualification possessed at the time of initial registration.
(vi) Permanent address for correspondence.
3.*A restoration fee of Rs. 75/- (Rs. 25/- for restoration and Rs. 50/- as service charges) is enclosed by way of crossed Postal Order/Bank Draft in the name of the Central Council of Homoeopathy, New Delhi.
Yours faithfully,
Signature
Full Name
Date:
“Note:- The fee of Seventy five rupees shall be for restoration of the registration, and not for the purpose of renewal of registration”
FROM G
(See regulation 10)
Appeal for restoration of name in the Register.
To
The Secretary
to the Govt. of India
Ministry of Health and Family Welfare,
New Delhi.
I , the undersigned _________________________________________ (full name in block letters beginning with Surname)
holding qualification of _________________do solemnly declare that the following are
(state the qualification)
the facts of my case on which I seek restoration of my name in the Register:
2. My name was duly registered in the State Register of (___________________)having
(name of the State)
registration number __________dated___________.
3. My name was duly registered in the Central Register of Homoeopathy on ___________having registration No._____________
4. At an enquiry held on the _________day of ___________by the Board, my name was directed to be removed from the State Register and the offence for which the Board directed the removal of my name was _______________(use separate sheet for details if necessary).
5. Since the removal of my name from the Register I have been residing at __________and my occupation has been ____________.
6. It is my request that my name be restored in the Register of _________State.
7.The grounds, for the present, of application are
(i)
(ii)
(iii)
8. The prescribed fee of Rs. 75/- (Rs. 25/- for restoration and Rs. 50/- as service charges) has been deposited by Bank Draft No.________dated_______ payable to Secretary, Ministry of Health and Family Welfare, New Delhi.
9. I request that orders may be passed for restoration of my name in the State Register of _____________(State)
Signed________
On_____________
Declared at ___________
before me__________
Judicial/Executive Magistrate,
Commissioner of Oath
*(Instructions: All facts and the grounds on which the application is made should be clearly and concisely stated. Use separate sheets if necessary).