FORM FOR CERTIFICATE OF PROVISIONAL REGISTRATION

FORM - 9 FORM FOR CERTIFICATE OF PROVISIONAL REGISTRATION passport photograph attested CERTIFICATE OF PROVISIONAL REGISTRATION This is certify that .................................................. ..(who has signed in the box son/ daughter of Smt/Shri.. ....................................... having passed the final ................................................ MBBS - examination (Date) from .............................................. (Medical College) affiliated to the University of.. ........................ has been given Provisional Registration under the Nagaland Medical Council Act, 2014, for the purpose of practical training (Internship/ .............................. .) in ...................... In witness whereof, the seal of the Nagaland Medical Council, Nagaland and the signature of the Registrar are herewith affixed. Subject to the provisions of the said Act, this certificate is valid up to.. ............ or the completion of Internship, whichever is later. This holder shall be entitled to practice medicine in the approved institution for the purpose of such training and for no other purpose. Date. ................................. Signature of Registrar With seal *Institution / hospital N.B: This certificate is to be surrendered to the Council at the time of Final Registration.