Get Application Form For Renewal Of License For Diagnostic Radiation ...

Renewing your license for diagnostic radiation apparatus is essential to ensure compliance with regulatory standards. This guide will help you navigate the online application form step-by-step, making the process easier and more efficient.

Follow the steps to successfully complete your application form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the section regarding any change in particulars of the licensee, including the name, NIC number, title, telephone number, fax number, email address, and address.
3. Move to the license information section, where you will need to input the date of registration and licensing with PNRA, your current license number, the date of issue, and the validity of the license.
4. If there has been a change in the location of your radiation apparatus, provide the new address, including details such as clinic or hospital name, Tehsil, District, and Division.
5. In the section for particulars of radiologists or radiographers, list any changes in staff, including their names, ages, qualifications, and experience.
6. Add details concerning any new radiation apparatus (x-ray machines), including the model/make, ID number, kV rating, mA rating, and the date of start of operation.
7. Document the radiation dose records for radiation workers, listing names, ages, doses received in the last year, and cumulative doses from the last five years.
8. Indicate the status of any previous inspection recommendations, ensuring you provide accurate updates.
9. Complete the payment details by entering the pay order or bank draft number for the licensing fee, including the amount, date, and the name of the bank.
10. Affirm the accuracy of all information provided by signing and dating the form. Attach the required copies of the N.I. card and pay order/bank draft, checking off their inclusion.
11. Once all sections are filled out, you can save your changes, download, print, or share the form as needed.

Begin your application online today to ensure a smooth renewal process!