MEDICAL REGISTRATION ORDINANCE (Chapter 161)

APPLICATION FOR TEMPORARY REGISTRATION

In accordance with section 14B of the Medical Registration Ordinance, an application for temporary registration is hereby submitted on behalf of the following person :-

( who was ), (Name) (Chinese name, if any)

born on (*M/F) and is holder of *HKID Card No. (dd/mm/yyyy)

and/or passport of (issuing country and place) No.

2. The applicant’s permanent address is

and the local address (while in Hong Kong) is

3. The applicant holds the following professional qualifications :-

4. I confirm that the above-named person will be engaged as

for the purpose of (Name / Title of post)

(Nature of duties) in .

(Title of institution or hospital in full in capital letters) for the period from to

5. I further confirm that the above-name person is in all the circumstances eligible under*subsection (1) or (3) of section 14B of the Medical Registration Ordinance for temporaryregistration with the Medical Council of Hong Kong; and that this application is supported by

(Name of institution)

( ) *Head / Chief Executive / Dean of Faculty of Medicine,

*Department of Health / Hospital Authority /University of Hong Kong / Chinese University of Hong Kong

Date :

* delete as appropriate

December 2006 (rev.) 1

To : The Registrar of Medical Practitioners c/o Medical Council of Hong Kong

17/F, Wu Chung House 213 Queen’s Road East Wanchai Hong Kong

Application for Practising Certificate under Temporary Registration In accordance with Section 20A(2) of the Medical Registration Ordinance, which specifies the issue of a practsing certificate to a registered medical practitioner subject to the following conditions :- (a) the payment of the prescribed fee; and (b) the submission of evidence that the registered medical practitioner has not been convicted in

Hong Kong or elsewhere of any offence punishable with imprisonment. I now apply for a Practising Certificate under temporary registration.

(1) Enclosed please find a crossed cheque/banker’s draft (made payable to “The Government of the Hong Kong Special Administrative Region”) in the sum of HK$250.00 for the appropriate fee.

(2) I declare that I *have/have not been convicted in Hong Kong or elsewhere of any offence

punishable with imprisonment. (Note : If you have been convicted in Hong Kong or elsewhere of any offence punishable with

imprisonment, please provide the details of the conviction(s) in a separate sheet. Applicants are warned that it is a criminal offence punishable by imprisonment to make

a false declaration, and they must ensure the accuracy of all information provided.) Signature : ___________________________________

Name of Applicant : __________________________ *Passport/HK Identity Card No. : _________________ Address : ____________________________________ ___________________________________________ ___________________________________________ Date : _______________________________________

* delete as appropriate

December 2006 (rev.) 2

Notes on Application for Temporary Registration

The following documents should be supplied, in addition to the “Application form for Temporary Registration” :-

(a) Original or certified copy of passport, or identity card, of the doctor;

(b) Copies of the doctor’s certificate of registration as a medical practitioner in any state or territory outside Hong Kong, if he has been registered in such state or territory; and

(c) Regarding the application from Department of Health on behalf of the doctor sponsored by the Hong Kong Academy of Medicine, copy of a supporting letter from the Academy addressed to the Department of Health is required.

(d) A copy of curriculum vitae of the doctor.

(Note : The application should be accompanied with a crossed cheque or banker’s draft for HK$250.00* made payable to “The Government of the Hong Kong Special Administrative Region” for the issue of a practising certificate under temporary registration [* Fees subject to revision]

Applicants are warned that it is a criminal offence punishable by imprisonment to make a false declaration, and they must ensure the accuracy of all information provided.

December 2006 (rev.) 3

14B Temporary registration

(1) Where an institution specified in subsection (2) intends to engage a person -

(a) who does not have any of the qualifications for registration referred to in section 8; or

(b) who has a qualification that qualifies him for registration referred to in section 8 but it is impracticable for him to obtain registration under section 14 in the circumstances,

exclusively in performing clinical teaching or research for the institution, the institution shall apply to the Council in such form as specified by the Council on behalf of the person for temporary registration of the person and shall supply such further information about the person as required by the Council.

(2) The institutions referred to in subsection (1) are -

(a) the Department of Health;

(b) the Hospital Authority;

(c) the University of Hong Kong; and

(d) the Chinese University of Hong Kong.

(3) Where the Academy of Medicine supports the engagement by a private hospital of a person referred to in subsection (1) exclusively in performing clinical teaching or research in the private hospital, the Department of Health may, at the request of the Academy of Medicine and upon such conditions as the Department thinks fit, apply to the Council in such form as specified by the Council for temporary registration of the person and the Academy of Medicine shall supply such further information about the person as required by the Council.

(4) The Council may determine and promulgate the details to be supplied under subsection (1) or (3).

(5) Where the Council is satisfied that it is appropriate and necessary for the person, the subject of an application under subsection (1) or (3), to be registered under this section to enable him to perform the clinical teaching or research concerned, the Council may direct the Registrar to register him as a medical practitioner with temporary registration for a period not exceeding 14 days.

(6) No certificate or licence is issued on a registration under this section.

(7) The Council may delegate its power under this section to a committee or the Registrar.

December 2006 (rev.) 4