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Get Application For The Continuation Of The Name On The Register Under Section 26 Of The Bombay

FORM J Application for the continuation of the name on the Register under section 26 of the Bombay Homoeopathic Practitioner s Act 1959 To The Registrar Maharashtra Council of Homoeopathy 235 Peninsula House 3rd Floor Dr. D. N. Rd. Above State Bank of Bikaner Jaipur Fort Mumbai 400 001. Subject - Continuation of my Name on the Register Sir 1. I request that my name may be continued on the register of Homoeopathic Practitioners maintained by the Council. 2. FORM J Application for the continuation of the name on the Register under section 26 of the Bombay Homoeopathic Practitioner s Act 1959 To The Registrar Maharashtra Council of Homoeopathy 235 Peninsula House 3rd Floor Dr. D. N* Rd. Above State Bank of Bikaner Jaipur Fort Mumbai 400 001. Subject - Continuation of my Name on the Register Sir 1. I request that my name may be continued on the register of Homoeopathic Practitioners maintained by the Council* 2. A fee of Rs. is paid to your office by D. D. only on. as per Instruction of column 5 3. My Particulars are submitted below 1 Full Name. Beginning with surname ion Block Capital 2 Maiden Name in Full. 3 My Registration No*. 4 Date upto which it is renewed. 5 Qualification Possessed at the time of Registration. 6 Permanent address for correspondence. Pin code. Phone No* STD Code Res*. Clinic. Hosp. Mobile. E-Mail. Yours faithfully Place Date - Sign Full Name. INSTRUCTIONS 1 This form must be returned duly completed with 4 passport size photographs so as to reach the Registrar Maharashtra Council of Homoeopathy 236 Peninsula House Above State Bank of Bikaner Jaipur 3rd floor Dadabhai Naoroji Road Fort Mumbai 400 001 for continuation of name on the register before 6 months from last date mentioned on Original registration cert. 2 All Details should be correctly filled in* 3 Information in clause 5 need not be filled by the practitioners registered on practice basis. 4 Application which do not contain the required particulars liable to be rejected* 5 Fees for the continuation as under a Continuation fee Rs. 1500/- Postage fee Rs. 100/ b Late fee Rs. 2500/- After due date mentioned on Original Registration Cert c Defaulter Fees Rs. 4100/- without I-card Rs. 4400/- with I card. d For new I card with Additional Qualification/Name Change/Address change are requested to send Rs. FORM J Application for the continuation of the name on the Register under section 26 of the Bombay Homoeopathic Practitioner s Act 1959 To The Registrar Maharashtra Council of Homoeopathy 235 Peninsula House 3rd Floor Dr. D. N* Rd. Above State Bank of Bikaner Jaipur Fort Mumbai 400 001. Subject - Continuation of my Name on the Register Sir 1. D. N* Rd. Above State Bank of Bikaner Jaipur Fort Mumbai 400 001. Subject - Continuation of my Name on the Register Sir 1. I request that my name may be continued on the register of Homoeopathic Practitioners maintained by the Council* 2. I request that my name may be continued on the register of Homoeopathic Practitioners maintained by the Council* 2. A fee of Rs. is paid to your office by D. D. only on. as per Instruction of column 5 3. My Particulars are submitted below 1 Full Name.

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