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7/25/2019 one for
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MALDIVES
MEDICAL
COUNCIL
MINISTRY
OF HEALTH
APPLICATION
FOR PRE.REGISTRATION
AT
MALDIVES MEDICAL
COUNCIT
SERIATNUMBER:
IDENT,IFICATIOT\I
NATIONALITY:
I
.(ofi
3. Was
your entire
course
of undergraduate
medical studies
completed
in
the
same University
/
Medical College?
NO
NATIONAL IDENTITY
CARD NO:
FULL NAME
(as
shown in N|C/passport)
lj
E
ACq
Ae
ArTE
Pn-ntxln
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(u
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AMILY NAME:
'- ';'-EEr\cLAPr* rJl
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t
GIVEN
NAME(S):
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td,
tY
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l2--
REGISTRATION
REQUIREDAS:
M
ED
tC;tL
O
FI=IC.E
R.
GENDER:
TNTALE
nFEMALE
DATE
OF
BIRTH. DD/MM/YYYY
O}
START
DATE
OF UNDERGRADUATE MEDICAL
,;rrrYY
o
t
END DATE
OF UNDERGRAD.UATE MEDICAL STUDIES
(exclude
period
of
internship):
oA
[o1l
2*eO
[
MM/YYYY
t
NAME
OF
QUALIFICATION
(as
indicated on
the
degreeawarded):
l-{
BA
S
YEAR
CONFERERD
(as
indicated
on
(3lel
zo
lo
LANGUAGE OF
INSTRUCTION:
t;pa{
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INSTITUTION:
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IH
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n
COUNTRY:
r
-1.^JDl
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QUALIFICATION:
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B
LISCENCINGAUTHORITY
& COUNTRY:
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END DATE
OF
INTERNSHIP:
MM/YYYY
NAME
OF INSTITUTION WHERE INTERNSHIP
WAS PELTED
(if
different from the institution
where unhdrgraduate medical
education was
completed):
pa;ry1
11
i
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+
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START DATE OF POSTGRADUATE MEDICAL
STUDIES:
TE
MEDICAL STUDIES:
NAME OF
QUALIFICATION
(as
indicated on the
degree awarded):
t-{
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the degree awarded):
YYYY
LANGUAGE
OF INSTRUCTION:
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QUALIF|CAT|ON,
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LISCENCING
AUTHORITY &
COUN
ue-Rrt\
START DATE
OF STUDIES:
END
DATE OF
STUDIES:MMIYYYY
NAME
OF
QUALIFICATION:
YEAR
CONFERERD
(as
indicated
on LANGUAGE OF
I
NSTRUCTION :
LISCENCI
NG AUTHORITY &COUNTRY:
TISCENCING
flXAMINABOT'I
1. Have
you
attempted and
passed
a
licensing
examination before
stated
practice
as a medical/dental
practitioner?
oYES
2. lf Yes to
(1),
please provide
information
on the
year
license
is
obtained and the details
of the examination
passed.
lf no to
(1)
state reason
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EMPLOYMET{T
DTTAILS.IN
THE MALDIVES
PROPOSEDEMPLOYMENT:
Mt.pi
Cyf
L
OF
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CS
EMPLOYERNAME:
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EMPLOYERCONTACTNUMBER+qlq
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IEMPLOYEREMAIL:
-t-'ra_r'L{\flJ&<Lrr{av Arf(,
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EMPLOYER ADDRESS:
)
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SUFPORTINGtrOCUMENI5
L
Copigp of the following documents are attacHed.
/o
PASSPORT
(DETAILS
PAGE)
tr/
UNDERGRADUATE MEDICAL DEGREE
/
eaoor oF
TNTERNsHTP
'
tr TESTIMONIAL FROM DEAN/REGISTRAR
?,
POSTGRADUATE MEDICAL DEGREE
/4
c*ttncATE oF GooD
sTANDTNG
tr
CERTIFICATE OF REGISTRATION AT
OTHER
LISCENCING
AUTHORITY
tr ENGLISH LANGUAGE
QUALIFICATION
o
LETTER OF VERIFICATION
DffiI\NATION
I
declare that all information
provided
action.
NAME OF THE APPLICANT:1r)
t-
herein
is
true to the best of
my knowledge
and
I
understqnd that
falsifying
information
would result in legal
)rrn?rnr4/
ffi ffi
DArE:DD/MM/yyyy
v(ciN
nl^.-
nl
Document
No:
MMC I
02
/
2012
ao6
2-
Instructions to Applicants
1. Copies ofthe following original documents are to be sentto Maldives Medical Council
(MMCI
in support ofapplication:
a. National Identity
Card
or
Passport.
b. Undergraduate
and
postgraduate
medical
qualifications
as applicable.
c.
Documentary
evidence of house
job/internship
with
details on tlre
period
spent
in
each discipline
(for
those
applicants having
undergraduate
qualifi
cation].
d. Certificate of Good Standing
(CGSJ
issued by
the medical
licensing authority of the country where the doctor
has been
practising
for the last 01
year prior
to the application. The
CGS
received by MMC must not
exceed 03
months from its
issued date.
e. Certificates
ofregistration
with other
medical licensing
authorities.
f
For newly
qualified
applicants
(less
than 01
year
of completion of training): An original
testimonial from the
hean nflhg
Medical School 0R the Registrar o[the University attesting to the applicant's character is
required
on to the item.
Medical Graduates are required to
produce
evidence ofproficienry
in
English Language to the MMC
iftheir
basic
medical
qualifications
are from medical schools
where the medium of instruction is not in English.
Test results obtained
from the International
English
Language
Testing System
(IELTSJ
test0Bthe
Test of
English
as
a
Foreign
Language
ITOEFLJ
within the
minimum score stated here can be considered, subiect to a validity
period
of 02
years
based on the date
ofthe tesl
o
IELTS
-
atleast
7
for overall score.
.
TOEFL
-
250 marks for computer-based test or 600 marks for
paper-based
test or 100 marks for
internet-based tesL
In addition to items
(1a1,(1bJ,(1d)
and
(1e),
applicants for temporary registration
as visiting experts need
to
submit
following to the Council, at least
1
week before regiskation:
a.
Original letter from sponsoring
healthcare institution registered in the Maldives stating
tJle
purpose
of the visit of the expert and
period
required.
b.
original
Letter
ofVeriflcation (LVJ
ofthe visiting expert's field ofspecialty
and/or expertise from the
host institution ofthe experL
Additional notes:
a. Documents in
foreign language shall be submitted together
with the certified English translations and
original copies of t}re documents.
The Maldives Medical Council will accept translation by
(iJ
the
insutute that
issued the original certificate (ii)
any embassy or consulate of the country that
issued
the original certificate,
(iiiJ
relevant regulatory
body ofthe country that issued the original certificate.
b.
The Letter of Verification (LV)
of a visiting expert's field
of
specialty and/or expertise
[temporary
registrationl must
be dated, contain information of doctor's
name, degree or title conferred and must
be issued
by
the
Head of the respective clinical
department OR the Chairman, Medical Board
for
equivalent) ofthe hostaffirming
the Visiting Expert's expertise.
c.
All documentation
submitted should be complete and
legible. The Council
will
not
process
illegible,
unclear or incomplete copies.
Maldives Medical Council will not be responsible
for delays that occur
due to submission of illegible
or incomplete documentation.
d. The MMC may also
require t}te doctor to submit any other documents
for evaluation of his/her
application.
All supporting documentations must be submitted through the
employer to the following address:
Secretariat
Maldives Medical Council
Ministry of Health
Roashanee Building
SosunMagu
Male', Maldives
)