Hong Kong Regulations

MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS - SCHEDULE 1

Register of Medical Laboratory Technologists

[regulation 3]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE)
REGULATIONS

Register of Medical Laboratory Technologists

PART I

REGISTRATION NO. :
...........................................................................
.....................

NAME : ...................................................................
(                         )


ADDRESS :
...........................................................................
.....................

BUSINESS ADDRESS :
...........................................................................
.....................

QUALIFICATIONS AND DATE OBTAINED :
...........................................................................
.....................

...........................................................................
....................... DETAILS OF WORKING EXPERIENCE :
...........................................................................
.....................

...........................................................................
.......................

...........................................................................
.......................

...........................................................................
....................... CERTIFICATION OF REGISTRATION SERIAL NO. :
...........................................................................
.....................

DATE OF REGISTRATION :
...........................................................................
..................... REMARKS :
...........................................................................
.....................

...........................................................................
.......................

Photograph

.......................................... Secretary, Medical Laboratory
Technologists Board.

PART II

REGISTRATION NO. :
...........................................................................
................ NAME :
.................................................................
(                       )
ADDRESS :
...........................................................................
................ BUSINESS ADDRESS :
...........................................................................
................ QUALIFICATIONS AND DATE OBTAINED :
...........................................................................
................

...........................................................................
.................. DETAILS OF WORKING EXPERIENCE :
...........................................................................
................

...........................................................................
..................

...........................................................................
..................

...........................................................................
.................. CERTIFICATION OF REGISTRATION SERIAL NO. :
...........................................................................
................ DATE OF REGISTRATION :
...........................................................................
................ REMARKS :
...........................................................................
................

...........................................................................
..................

Photograph

........................................ Secretary, Medical Laboratory
Technologists Board.

PART III

REGISTRATION NO. :
...........................................................................
................... NAME :
...................................................................
(                        )
ADDRESS :
...........................................................................
................... BUSINESS ADDRESS :
...........................................................................
................... QUALIFICATIONS AND DATE OBTAINED :
...........................................................................
...................

...........................................................................
..................... DETAILS OF WORKING EXPERIENCE :
...........................................................................
...................

...........................................................................
.....................

...........................................................................
.....................

...........................................................................
..................... CERTIFICATION OF REGISTRATION SERIAL NO. :
...........................................................................
................... DATE OF REGISTRATION :
...........................................................................
................... REMARKS :
...........................................................................
...................

...........................................................................
.....................

Photograph

........................................ Secretary, Medical Laboratory
Technologists Board. (Enacted 1990)