Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the form directly in your browser.
2. Fill in your passport photograph at the designated area. Make sure it is a recent and clear image.
3. Enter your provisional registration number and folio number in the specified fields.
4. Provide your full names without abbreviations in the 'Full Names of Applicant' section. Break down into surname, other names, and any previous names if applicable.
5. Indicate your sex and marital status in the provided options.
6. Input your date and place of birth accurately in the respective fields.
7. Complete the nationality data by filling in your home town, local government area, and state of origin.
8. Enter your full residential address, along with your business address. If different, include your postal or contact address.
9. List your educational data, including schools attended and the dates for each level of education (primary, secondary, tertiary, and medical school). Also, provide details of professional or academic qualifications.
10. Detail your past professional experience, including pre-registration appointment and any departmental postings, along with supervising consultant details.
11. Specify your present appointment, including hospital or institution, position held, and appointment dates.
12. Answer the question regarding any encounters with the Medical & Dental Practitioners’ Disciplinary Tribunal. Provide details if applicable.
13. List the names and full addresses of three referees who are not relatives.
14. Ensure all required documents are attached, including academic and professional qualifications, birth certificate, evidence of internship completion, registration fee cheque, and passport photographs.
15. Sign the application where indicated, along with the signature of the Chief Medical Director or Administrative Head from your internship institution.
16. Once completed, save your changes, then you can print, download, or share the form as needed.

Start filling out the Mdcn Form B No Download Needed online today for successful registration!