Hong Kong Regulations

MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE) REGULATIONS - SCHEDULE 2

(Past version on 30/06/1997).

[regulations 7, 9, 14, 23 & 42]

FORM 1 [regulation 7(1)

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE)
REGULATIONS

Application for Registration/Provisional Registration as a
Medical Laboratory Technologist

I ...........................................................................
.................................................... of
(name in both English and Chinese)
...........................................................................
......................................................... being
(correspondence or home address) qualified for registration under
section 12(1)*(a)/(b)/(c)/section 15 of the
Supplementary Medical Professions Ordinance apply for

*registration/provisional registration as a medical laboratory  technologist
and request that my name be placed on Part ............ of the Register.

2. I hold the following qualifications
...........................................................................
...........
...........................................................................
..................................................................
...........................................................................
..................................................................

3. I have the following professional experience
......................................................................
...........................................................................
..................................................................
...........................................................................
..................................................................

4. My business address(es) *is/are as follows: (English)
...........................................................................
....................................................
...........................................................................
.................................................................. (Chinese)
...........................................................................
...................................................
...........................................................................
..................................................................

5. My telephone numbers are: (Home)
...........................................................................
...................................................... (Office)
...........................................................................
.....................................................

6. I *+have/have not been convicted in Hong Kong or elsewhere of an offence
punishable with imprisonment. I *have/have not been found guilty in Hong Kong
or elsewhere of unprofessional conduct. I *am/am not the subject of an
existing order under section 22(1)(i) or (ii) of the
Supplementary Medical Professions Ordinance.

I declare that the information given in this application is correct to the
best of my knowledge and belief.

Signed at ..................................................
............................................................ the
............... day of ...................... 19 ..... ｝ (Signature of
Applicant)

Before me,

............................................................
.................................................................
(Name in block letters) (Signature)

* Barrister/Commissioner for Oaths/Medical laboratory technologist registered
in Part I of the Register/Registered medical practitioner/Solicitor

Photograph of Applicant

+ Please supply details of conviction.

* Delete as inappropriate.

(47 of 1997 s. 10)

FORM 2A [regulation 9(1)]

MEDICAL LABORATORY TECHNOLOGISTS BOARD

HONG KONG

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

Certificate of Registration

Number on Register: .........................

This is to certify that
...........................................................................
........................... whose address is
...........................................................................
........................................
...........................................................................
.................................................................. and whose
photograph appears hereon was on the .............. day of ............ 19
...... admitted to Part .......... of the Register of
Medical Laboratory Technologists.

Dated this ......... day of ............. 19 .......

Photograph

...................................... Secretary, Medical Laboratory
Technologists Board. (L.N. 86 of 2004)

FORM 2B [regulation 9(2)]

MEDICAL LABORATORY TECHNOLOGISTS BOARD

HONG KONG

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

Certificate of Provisional Registration

Number on Register: ................................

This is to certify that
...........................................................................
........................... whose address is
...........................................................................
........................................
...........................................................................
.................................................................. and whose
photograph appears hereon was on the ............... day of ............. 19
..... admitted to Part III of the Register of Medical Laboratory Technologists
subject to the undermentioned conditions.

Conditions imposed pursuant to section 15(3) of the Supplementary
Medical Professions Ordinance-

Dated this .......... day of .............. 19 ........

Photograph

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

(L.N. 86 of 2004)

FROM 3 [regulation 14]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE)
REGULATIONS

Particulars of a Company carrying on the Business of
Medical Laboratory Technologist

Presented by
...........................................................................
......................................
(Name of Company) of
...........................................................................
..............................................................
(Registered Business Address)
...........................................................................
..................................................................
(Business Registration Certificate No.)

Particulars of the names and addresses of all persons who are professionally
qualified directors, other directors or managers of the above company in
respect of the business of a medical laboratory  technologist carried on by it
at ....................................... .............................
...........................................................................
.................................................................. under the
name of
...........................................................................
......................................

Name in full Position Cert. of Reg. No. and Date of Reg.
where Directors are registered
under Part I of the Register Residential
Address

and of persons who practise the profession of medical laboratory  technologist
in connection with the business of the said company in theabove.

Name in full Residential
address Occupation Qualifications Cert. of Reg.
No. and Date
of Reg. Duties
performed

Dated this ......... day of ............ 19 .......

(Signature) ..................................... (State whether director or
manager or secretary)

FORM 4 [regulation 23(1)]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE)
REGULATIONS

Notice of Inquiry

[Date]

Sir/Madam,

On behalf of the Medical Laboratory Technologists Board notice is hereby given
to you that, in consequence of a complaint made against you to the
Board/information received by the Board, an inquiry is to be held into the
following charge(s) against you-

(If the allegation relates to conviction) That you were on the ........ day of
............. 19 ...... at
...........................................................................
.............................................................. (specify court
recording the conviction) convicted of
................................................................
...........................................................................
.................................................................. (set out
particulars of the conviction in sufficient detail to identify the case).

or

(If the charge relates to conduct) That you
.....................................................................
...........................................................................
..................................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged); and that in relation to the facts alleged you have
been guilty of unprofessional conduct.

or

(If the allegation relates to obtaining registration by fraud or
misrepresentation) That you
...........................................................................
..................................................................
...........................................................................
.................................................................
...........................................................................
.................................................................

(set out briefly the facts alleged); and that in relation to the facts alleged
you obtained registration by fraud or misrepresentation.

or

(If the allegation is that the registered medical laboratory technologist was
not qualified, at the time of his registration, to be registered) That you
.............................................................
...........................................................................
.................................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged); and that in relation to the facts alleged you were
not at the time of your registration qualified to be registered.

or

(If the allegation is that the registered medical laboratory technologist has
not complied with or is in breach of any condition of his registration or has
failed to comply with the Ordinance) That you
................................................
...........................................................................
..................................................................
...........................................................................
..................................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged).

or

(If the charge or allegation is that an applicant for registration has been
convicted in Hong Kong or elsewhere of any offence punishable with
imprisonment, has been guilty of unprofessional conduct, is not qualified to
be registered in his application for registration, has been guilty of fraud or
misrepresentation or has failed to comply with the Ordinance) That on the
.......... day of ....................... 19 ......... you made application to
the Secretary for registration in accordance with section 13 of the
Supplementary Medical Professions Ordinance, whereas
...........................................................................
..................................................................
...........................................................................
.................................................................. (set out
briefly the facts alleged); and that in relation to the facts alleged your
name should not be approved to be entered upon the register.

(Where there is more than one charge or allegation, they are to be numbered
consecutively).

Notice is further given to you that on .......... (day of the week) the
............. day of .............. 19 ......, a meeting of the Board will be
held at ........................................................., at
.......... a.m./p.m. to consider the above-mentioned charge(s)/allegation(s)
in a complaint against you, and to determine whether or not the Board should
take any action against you under section .................. (state whether
section 13 or 22) of the Supplementary Medical Professions Ordinance.

You are hereby invited to answer in writing the above-mentioned
charge(s)/allegation(s) and also to appear before the Board at the place and
time specified above, for the purpose of answering such
charge(s)/allegation(s). You may appear in person or by counsel or solicitor.
The Board has power, if you do not appear, to hear and decide upon the said
charge(s)/allegation(s) in your absence.

Any answer, admission, or other statement or communication which you may
desire to make with respect to the said charge(s)/allegation(s) in a complaint
should be addressed to the Secretary.

If you desire to make any application that the inquiry should be postponed,
you should send the application to the Secretary as soon as may be, stating
the grounds on which you desire a postponement. Any such application will be
considered by the Chairman of the Board.

A copy of the Medical Laboratory Technologists (Registration and 
Disciplinary Procedure) Regulations is sent herewith for your information.

............................................ Secretary, Medical Laboratory
Technologists Board. (L.N. 53 of 1992)

FORM 5 [regulation 42(2)]

SUPPLEMENTARY MEDICAL PROFESSIONS ORDINANCE

(Chapter 359)

MEDICAL LABORATORY TECHNOLOGISTS (REGISTRATION AND DISCIPLINARY PROCEDURE)
REGULATIONS

Summons to Witness

In the matter of a Disciplinary Inquiry under section 13/section 22 of the
Ordinance:

And in the matter of (1)
...........................................................................
........................ To (2)
...........................................................................
...........................................................

You are hereby summoned to appear before the Medical Laboratory  Technologists
Board at
...........................................................................
..............................................................
...........................................................................
.................................................................. on the
................................................................ day of
............ 19 .......... at ............ o'clock in the ......... noon to
give evidence touching the matter under inquiry (3) and also to bring with you
and produce (4)
...........................................................................
............................................
...........................................................................
..................................................................

Given under my hand this ............ day of ............. 19 .......

........................................ Chairman, Medical Laboratory
Technologists Board.

NOTE: (1) Insert name of registered medical laboratory technologist.

(2) Insert name and address of witness.

(3) Delete if not required.

(4) Specify the books, documents or other things to be produced. (Enacted
1990)