11.07.2015 Views

Temporary Registration Forms.pdf - Medical & Dental Council Ghana

Temporary Registration Forms.pdf - Medical & Dental Council Ghana

Temporary Registration Forms.pdf - Medical & Dental Council Ghana

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FOR OFFICE USE ONLYReceived by ………………………………….Checked by ………………………………….Date ………/……/……Date …….…/…………/………Amount paid. …………………………………………Receipt No. ……………………Signature of Officer …………………………………………Date …….…/…………/……….Registrar’s Comments ……………………………………………...………………………………..………………………………………………...……………………..………………………………………Signature …………………………………. Date …………/…….……/……………Chairman’s Approval ………………………………………………………………………….……………………………………………………………………………………………………………………….Signature …………………………………………..Date ……..…/…….……/…………Approved: Yes No Date: ………/…….…/…….…<strong>Registration</strong> Number …………………………….Entered into database by ………………………………………..Date: ….. …../…………/………4

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