one for

3
7/25/2019 one for http://slidepdf.com/reader/full/one-for 1/3 v an ,. q a: 3', $; tl *.e,.. 'rr{.:) 'b -. [ ]- tr{, t: afr ( *i, Cnl +,I Ft/ :Z .?+.* :? E * rra tr ,4 7 i., i, ?; t;i ti r: i; ,rli. .'.. 'i1t i;,., ii: ?j /: i; ?: ;ti ',1 ::.: t.:, ?,, i, ,: :;l t:' ::i; .; ,.:. . , ;: ij.:, . . :;: I :r :.' a :.: lla '' ,'::: a 1t r., :. - ,- i:: i; r:, :i = ;:. ..:: .^ i. ';: :: il '::, 'r- i;, ,,4 7-* {3 ?..4, a/4 ,.,3 Y' ,.1 1:i ,,-t ,k t-. 2/-a ,:;,; ?r), i;/, i:1 ,;, ;t,-,t - 'i.'i i* 1,7 , I ';L 'fu/  , ;.*, ?i:t ,.,,,tr, iZ * ; * +r 'i '-l' r<'ii'u:z'',: tt'i , ..n) 1t UvoERABAD # * \'*ofiffe;,fffo*s:,,i.-^b:trffi.frt;,,;. -3 .* .. P< I H D E R A G A P A T I < <P R AZU *L <KUH A R < < << < ;<.;;;.;;. fiA8718?6<A: t i D I geg'Z 1n1,,Age1 B<<<<<<... .....0 m:mwwwL,,xry ffiw,zwylx.k :'':: :;;;1r:1:',: -wtr3ii'f,YtrtrA . ERAGAPATI ;i4U Ai1:'ffi tbr;;;, il21,,),;,ii* - -' FRAZIdAL KUNAfi  ;;W ;;;' ^- . {t '- **-*' tt.e |sw- -- oirp,rx t >*ti ii z,,i t?4*ik?: H OltOgtiga'S AORiIAKAL I,'AflAiI6AL

Transcript of one for

Page 1: one for

7/25/2019 one for

http://slidepdf.com/reader/full/one-for 1/3

v

an

,.

q

a:

3',

$;

tl

*.e,..

'rr{.:)

'b

-.

[

]-

tr{,

t:

afr

(

*i,

Cnl

+,I

Ft/

:Z

.?+.*

:?

E

*

rra

tr

,4

7

i.,

i,

?;

t;i

ti

r:

i;

,rli.

.'..

'i1t

i;,.,

ii:

?j

/:

i;

?:

;ti

',1

::.:

t.:,

?,,

i,

,:

:;l

t:'

::i;

.;

,.:.

.

, ;:

ij.:, .

.

:;:

I

:r

:.'

a

:.:

lla

''

,':::

a

1t r.,

:.

-

,-

i::

i; r:,

:i

=

;:.

..::

.^

i.

';:

::

il

'::,

'r-

i;,

,,4

7-*

{3

?..4,

a/4

,.,3

Y'

,.1

1:i

,,-t

,k

t-.

2/-a

,:;,;

?r),

i;/,

i:1

,;,

;t,-,t

-

'i.'i

i*

1,7 ,

I

';L

'fu/

 

, ;.*,

?i:t

,.,,,tr,

iZ

*

;

*

+r

'i

'-l'

r<'ii'u:z'',:

tt'i

,

..n)

1t

UvoERABAD

#

*

\'*ofiffe;,fffo*s:,,i.-^b:trffi.frt;,,;.

-3 .*

..

P<

I

H

D

E

R A G

A

P A

T

I

< <P

R

AZU

*L <KUH

A

R

<

<

<<

<

;<.;;;.;;.

fiA8718?6<A:

t i

D

I

geg'Z

1n1,,Age1

B<<<<<<... .....0

m:mwwwL,,xry

ffiw,zwylx.k

:''::

:;;;1r:1:',:

-wtr3ii'f,YtrtrA

.

ERAGAPATI

;i4U Ai1:'ffi

tbr;;;,

il21,,),;,ii*

-

-'

FRAZIdAL

KUNAfi

 ;;W

;;;' ^-

.

{t

'-

**-*'

tt.e

|sw-

--

oirp,rx

t >*ti

ii

z,,i

t?4*ik?:

H

OltOgtiga'S

AORiIAKAL

I,'AflAiI6AL

Page 2: one for

7/25/2019 one for

http://slidepdf.com/reader/full/one-for 2/3

ulP

*

6.3,t

's'

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

u

(u

r1ro

E_

AMILY NAME:

'- ';'-EEr\cLAPr* rJl

,)

i1f:+crlrr.f>Ar

t

GIVEN

NAME(S):

-'

?

/LA$l-r

t

r-

td,

tY

A'

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{

LrS

H

INSTITUTION:

P

IH

g

FJ+n-(H

*

AeL

n

COUNTRY:

r

-1.^JDl

p

QUALIFICATION:

1 t

B

LISCENCINGAUTHORITY

& COUNTRY:

Ap

Q

ft

n--*

p

p-ftD

[>

S

Ti+

r

(1.

r 4

laf)

|

c

)')

L-

(

O

tit-t

L

I

L*

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

M

+

TN<qrruTiA oF milf)icAL (ttExsrp

START DATE OF POSTGRADUATE MEDICAL

STUDIES:

TE

MEDICAL STUDIES:

NAME OF

QUALIFICATION

(as

indicated on the

degree awarded):

t-{

D

the degree awarded):

YYYY

LANGUAGE

OF INSTRUCTION:

F

tscrrUls

t1

INSTITUTION:

.

CfLl

'.{

t3.rt

ST

6}f

L

F.raD u^rruEt2-St'I*y

GoUNTRY:

u

KAJ+

i

hs

l3

QUALIF|CAT|ON,

r t

D

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

Page 3: one for

7/25/2019 one for

http://slidepdf.com/reader/full/one-for 3/3

EMPLOYMET{T

DTTAILS.IN

THE MALDIVES

PROPOSEDEMPLOYMENT:

Mt.pi

Cyf

L

OF

l=t

C'nrt--

/

'l

'hlaDl?'rT12

\

CS

EMPLOYERNAME:

A'

Pn-Az\6-tA

L-

l<\J1 1

^Ya/

EMPLOYERCONTACTNUMBER+qlq

+hh k

IEMPLOYEREMAIL:

-t-'ra_r'L{\flJ&<Lrr{av Arf(,

Yahoo

.t-6t

EMPLOYER ADDRESS:

)

ehqYlcr\.ctDu'r

i

ttYet

.i\r-.r

t\{

lt

o

Y

H.5,

E:c

\

L). PanO

i

lar\rlrrcr, ttYDzi

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

)