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Chhattisgarh Ayurvedic, Unani Tatha Prakritic Chikitsa Vyavasayi
Rules, 1973
Bhopal, The 14th March 1973
No. 10-2-73-4-XVII- In exercise of the powers conferred by section 42 of
the Chhattisgarh Ayurvedic, Uninani Tatha Prakritic Chikitsa-Vyavasayi Adhiniyam,
1970 (5 of 1971), the State Government hereby makes the following rules,
the same having been previously published as required by sub section(1)
of the said section, namely:
RULES
CHAPTER 1
PRELIMINARY
1. Short title
This Act may be called the Chhattisgarh Ayurvedic, Uninani Tatha
Prakritic Chikitsa Vyavasayi Rules, 1973.
2. Definitions
In these rules unless the context otherwise requires :
(a) 'Act' means the Chhattisgarh Ayurvedic, Uninani Tatha
Prakritic Chikitsa Vyavasayi Adhiniyam, 1970 (No. 5 of 1971) :
(b) 'Returning Officer' means Registrar appointed under sub-section (1) of
section 20 of the Act;
(c) 'Form' means a form appeneded to these rules;
(d) 'Director' means the Director of Health (Medical) Services, Chhattisgarh.
(e) The words and expressions used in the Act and not defined in these rules
shall have the meaning assigned to them in the Act.
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CHAPTER II
ELECTION TO THE BOARD
3. Election of the president.-
(1) As soon as may be after the election and nomination of the members under
section 4 of the Act are completed, the Director shall fix the date, place
and time for the election of the President and the Returning Officer shall
thereupon issue a notice by registered post to ail the members accordingly
to meet and elect the President.
(2) The meeting for the election of the President shall be Presided over by
the Director.
(3) At any time before 12 noon on the day so fixed any member may nominate
another member for election by delivering to the Returning Officer a nomination
paper signed by himself as proposer and by a third member as seconder and
stating the name of the member
nominated : and that the proposer has ascertained that such member willing
to serve as President if elected.
(4) On the date fixed for election, the Director shall read out to members,
the names of the members nominated together with those of their proposers
and seconders and if only one member has been so nominated, shall declare
that' member to be duly elected as the President and if more than one member
have been so nominated the members shall proceed to elect the President by
ballot.
(5) Where more than two candidates have been nominated and at the first ballot
no candidate obtains more votes than the aggregate votes obtained by the other
candidate, the candidate who has obtained the smallest number of votes shall
be excluded from the election and balloting shall proceed. The candidate obtaining
the smallest number of votes at each ballot being excluded from the election
until one
candidate obtains more votes than the aggregate votes of the remaining candidates.
The candidate who obtains more votes than those obtained by the remaining
candidates or than the aggregate votes obtained by the remaining candidates,
as the case may be, shall be declared to have been elected as President.
(6)Where at any ballot any two or more cantidates obtain an equal number of
votes and one of them has to be excluded from the election, under sub-rule
(5) the determination as between the candidates whose votes are equal of the
candidates who is to be excluded shall by drawing of lots.
4. Election of the Vice-President -
The election of the Vice-President shall be held by the President on the date
fixed by him and the procedure prescribed in rule 3 shall mutatis mutandis
apply for the election of the Vice-President.
5. Preparation of electoral rolls -
(1) For the purpose of election under section 4 of the Act, the Returning
Officer, shall prepare in each Revenue Commissioner's Division, an electoral
roll in Form I containing the names of all registered practitioners residing
or practicing in the division. The electoral rolls so prepared shall be published
in the "chhattisgarh Gazette" at least two months, before the election
together with a notice stating that any objection relating to entries in or
omission from the said electoral roll may be preferred to the Returning Officer
at his office on or before the date to be specified in the notice.
(2) In the case of practitioner not residing in *Chhattisgarh his name shall
be entered in the electoral roll of Revenue Commissioner's Division in which
he originally practised.
(3) No practitioner's name shall be included in the electoral rolls of more
than one Revenue Commissioner's Division.
6. Hearing of objections -
On or after the said the said date Returning Officer shall consider the objections
so received and revise the electoral rolls on the basis of the register of
Vaidyas, Hakims and prakratik Chikitsak maintained under the Act and shall
publish in the "#Chhattisgarh Gazette" the final electoral rolls
on or before the date fixed by the President for this purpose. These electoral
rolls shall then be deemed to be final and conclusive.
7. Nominations -
(1) Any practitioner whose name is on the electoral rolls of a Revenue Commissioner's
Division and who is not disqualified under section 6 of the Act may be nominated
as a candidate for election for the Revenue Commissioner's Division.
(2) Such nomination shall be made by means of nomination paper in form II
which shall be supplied by the Returning Officer to any elector who may apply
for the same.
(3) Every nomination paper shall be subscribed by two electors as proposer
and seconder provided that no elector shall subscribe more nomination papers
than one. Provided also that if more than one nomination paper are subscribed
by the same elector the nomination paper first received by the Returning Officer
shall, if othersise in order, be held to be valid, and if more than one nomination
paper, signed by the same elector be received simultaneously by the Returning
Officer, all of such nomination papers shall be held to be invalid.
(4) On receipt of a nomination paper the Returning Officer shall forth with
endorse thereon the date and hour of receipt.
8. Deposit -
(1) At the time of delivery of a nomination paprer, there shall be enclosed
with the nomination paper a post office, money order receipt for Rupees 50
(Fifty) in favour of the Board, and no candidate shall be deemed to be duly
nominated unless such receipt is enclosed with the nomination paper.
(2) If a candidate by whom or on whose behalf the deposit has been made withdraws
his candidature in the manner and within the time specified hereinafter or
if the nomination of any such candidate is refused, the deposit shall be returned
to the person by whom it was made, and if any candidate dies before the commencement
of the poll, such deposit if made by him, shall be returned to his legal representative
or if not made by the candidate, shall be returned to the person by whom it
was made.
(3) If a candidate by whom or on whose behalf the deposit referred to the
sub-rule (1) has been made is not elected and the number of votes polled by
him does not exceed 1/8 (one eight) of the total number of votes polled, the
deposit shall be forfeited to the Board.
(4) For the purpose of sub-rule (3) the number of votes polled shall be deemed
to be the number of voting papers, other than rejected voting papers, counted.
(5) The deposit made in respect of a candidate whether the is elected or not
shall if it is not forfeited under sub-rule (3), be returned to the candidate
or to the person who has made the deposit on his behalf, as the case may be,
as soon as may be after the publication of the result of the election in the
Gazette.
9. Rejetion and scrutiny of Nomination paper -
(1) Nomination papers which are not received by the Returning Officer in his
office before 12 noon on the date fixed by the president for the purpose and
notified in the Gazette shall be rejected.
(2) Every candidate and his proposer and seconder may attend the office of
the Returning Officer at the time and place fixed by the President for the
purposes.
(3) The Returning Officer shall then examine the nomination papers and may
either of his own motion or on objection made, decide all questions which
may arise as to the validity of any nomination and his decision on any question
shall be final.
10. Procodure after scrutiny of nomination papers -
(1) If the number of duly nominated candidate from a Revenue Commissioner's
Division is one, the Returning Officer shall forthwith declare such candidate
to be elected.
(2) If the number of such candidates exceeds one, the Returning Officer shall
forthwith publish their names and addresses in the Gazette and shall further
Cause their names to be entered in voting papers in Form III.
(3) Any candidate duly nominated may withdraw his candidature by sending to
the Returning Officer a written and signed withdrawal letter not later than
two clear days before the date appointed for the scrutiny and counting of
votes and it shall not be permissible to him subsequently to cancel such with
drawal.
(4) On receiving notice of such withdrawal the Returning Officer shall publish
the fact of such withdrawal in the Gazette.
(5) If a candidate, who has been duly nominated and has not withdrawn his
candidature in the manner and within the time specified in sub-rule (3) dies
after the expiry of the time of submitting notice of withdrawal of candidature
and before the commencement of the poll, the Returning Officer shall upon
being satisfied of the fact of the death of the candidate, declare that all
proceedings with reference to the election shall be commenced new in all respect
as if for a new election.
(6) On or before such date as may be fixed by the President for the purpose,
the Returning Officer shall send by registered post to each elector a voting
paper in Form III signed by the Returning Officer:
Provided that no election shall be invalidated by reason of the non-reecipt
by an elector, of his voting paper.
11. Voting-
(1) Every elector desirous of recording his vote shall send his voting paper,
by registered post to the Returning Officer at his office after recording
his vote thereon in the manner prescribed therein :
Provided that voting papers which are not received by the Returning Officer
before 12 noon on the date fixed for the purpose by the president shall be
rejected.
(2) An elector who has inadvertently dealt with his voting paper in such a
manner that it cannot properly be used as a voting paper may on delivering
it to the Returning Officer and satisfying him of the inadvertence obtain
another voting paper in place of the spoilt paper and the former shall together
with its counterfoil, be marked as cancelled.
12. Placing voting papers in safe custody - (1) After satisfying
himself that the electors have affixed their signatures to the counterfoils,
the Returning Officer shall tear off the counterfoils and place them in safe
custody pending disposal under Rule 16.
(2) The Returning Officer shall at the time of scrutiny endorse "Rejected"
on any voting paper, which may be rejected on the ground that it does not
comply with the instructions on the voting paper.
13. Scrutiny of voting papers -
(1) The Returning Officer shall scrutinise and count the votes at his office
at 12 noon on the date fixed for the purpose by the President.
(2) Every candidate may be present in person or may send a representative
duly authorised by him in writing to watch the process of counting.
(3) The Returning Officer shall show the voting papers if requested but not
the counterfoils to the candidates or their representatives.
(4) If any objection is made, to any voting paper on the ground that it does
not comply with the instructions therein or to the rejection by the Returning
Officer of a voting paper it shall be decided atonce by the Returning Officer
whose decision shall be final.
14. Result of voting -
(1) Where the counting of votes has been completed the Returning Officer shall
forthwith declare the candidate to whom the largest number of votes has been
given to be elected.
(2) Where an equality of votes is found to exist between any candidates and
the addition of a vote will entitle any of the candidates to be declared elected,
the determination of the person to whom such an additional vote shall be deemed
to have heen given shall be made by lot to be drawn in the presence of the
Returning Officer and in such manner as he may determine.
15. Retention of voting papers and their destruction -
Upon the completion of the counting and after the result has been declared
by him, the Returning Officer shall seal up the voting papers and all other
documents relating to the election and shall retain the same for a period
of six months and there after cause them to be destroyed.
16. Publication of the names of elected candidates -
The Returning Officer shall forthwith send the name of the elected candidature
to the state Government to be published by them in the Gazette.
17. Power of Government to declare election to be void -
The state Government may of its own motion or on objection made declare any
election that has been held to be void on account of any corrupt practice
or other suffient cause and may call on the electorate to make a fresh election.
The decision of the state Government under this rule shall be final.
18. Decision of the Government to be final -
The decision of the State Government on any question that may arise as to
the intention, construction, or application of rules 3, 4, 5, 6, 7, 8, 9,
10, 11, 12, 13, 14, 15, 16 and 17 shall be final.
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CHAPTER-III
APPEAL
19. Particulars of Appeal -
An appeal to the Board, preferred under clause (b) or sub-section (2) of section
19 of the Act, against the decision of the Registrar regarding the registration
of any person or the making of any entry in the registrar, shall be in writing
and shall state the grounds on which the claim in the appeal is made together
with the names of persons concerned, their qualification, the date on which
and the authorities from which they were received, and other material particulars.
20. Appeal to be referred to a committee —
On receipt of the appeal, it shall be referred to a committee constituted
from amongst the members of the Board for consideration and report.
21. Power of committee to call documents —
The committee shall have power to call for the original degree, diploma or
license from the person concerned for inspection and also such other documentary
or oral evidence as may be considered necessary by it.
22. Committee to report to the Board —
On conclusion of its inquiry the committee shall make a report to the Board
embodying such recommendations as it may think fit to make together with the
reasons for the recommendations.
23. Submission of appeal and report to the Board —
The appeal, the committee's report on it and all other documents in connection
with the cases shall be laid before the Board at its next meeting.
24. Date of hearing of appeal to be notified by the Board —
The date on which the appeal is to be taken up by the Board shall be notified
to the persons concerned . They shall also be allowed, if they so choose,
to represent their case before the Board, either personally or by their legal
representatives.
CHAPTER-IV - REGISTRAR
25. Qualification for appointment —
(1) for the appointment on the post of Registrar, a degree from a recognized
University shell be essential qualification but in addition a degree holder
in Law shall be given preference for the appointment on this post.
(2) Second essential qualification;—A person qualified in an examination in
Ayurveda from a recognised institution.
(3) A minimum five years administrative experience under a Government or non
Goverment institution shall be essential for the post.
26. Scale of Pay of Registrar —
(1) The scale of pay of the post of the Registrar shall be Rs. 275—275—300—15—405—EB—20—425—25—475.
(2) The dearness and other allowances admissible in the case of similar posts
under the State Government shall be applicable for this post also.
(3) The benefit of dearness and other allowance granted from time to time
by the State Government to its employees shall be admissible to the employees
of the Board.
27. Appointment of Registrar —
(1) The Registrar shall be appointed by the Board from a panel of not less
than 3 persons recommended by the committee constituted under sub rule (2)
provided that if the Board does not approve of any of the persons so recommended,
or the person or persons approved by the Board out of those recommended by
the committee are not willing to accept the appointment, the Board may call
for fresh recommendations from such committee;
(2) The committee shall consist of the President, Vice-President of the Board
and one nominee of the State Government.
(3) The Committee shall call applications for the post after publication of
an advertisement in the daily newspapers in accordance with the draft approved
by it. The district employment office will also be informed.
(4) The Convener, with the approval of the Committee shall call candidate
for interview on the date time and place specified by him.
28. Condition of service —
(1) The appointment the Registrar shall be made on two years probation and
thereafter the Board shall either confirm him if satisfied with him work or
extend the period of probation for a further period of one year at a time
provided the Board if not satisfied with him work may terminate his services
during the period of probation after giving a notice at one month or in lieu
of the notice one month salary.
(2) The services of the Registrar shall be non-pension able and shall be governed
by Contributory Provident Fund Scheme.
(3) The Registrar shall be entitled for casual leave, earned leave and travelling
allowance, etc, as admissible Government servants of his category.
(4) The superannuation age of the Registrar shall ordinarily be 55 years and
thereafter the shall be retired. Provided that if the incumbent is physically
fit and an ananimus recommendation is made by the Board that his services
are essential beyond 55 years, a resolution to this effect shall have to be
passed by the Board and then extension can be granted with a condition that
no extension shall, in no case be beyond 60 years of age.
(5) For disciplinary matters against the Registrar the provisions of the Madhya
Pradesh Civil Services (Classification, Control and Appeal) Rules, 1966 all
apply mutatis mutandis.
CHAPTER-V
REGISTRATION OF PRACTIONERS
29. Form of register to be maintained by the Board —
The form the State register of practitioners to be maintained by the Board
under section 24 of the Act, shall be in Form IV.
30. Verification of register —
The State register of practitioners shall be verified by the president by
affixing his signature.
31. Application for registration —
The application for registration shall be in the Form V and shall be accompanied
by copy, duly attested by Gazetted Officer, of the certificate, degree or
diploma approved for registration in the Act. It may also enclosed with it
attested copies of such other certificates as the practitioner may wish to
submit for consideration in deciding the application may also be enclosed.
The Registrar may also require the applicant to furnish such other certificates
and testimonials etc, as he may deem necessary Original certificates, etc,
shall not be enclosed with the application, but the Registrar may require
any applicant to produce them.
32. Deposit of Fees —
(1) Any person applying for having his name entered in the State register
practitioner for registration under sub-section (1) of section 25 of the Act
shall have to deposit Rs. 20 by money order alongwith the application.
(2) A person whose name has been entered in the State register of the practioners
and who has acquired a degree, diploma or other equal qualification in Ayurved,
Unani or naturopathy, he may register his additional qualification under section
26 of the Act by sending an application to the Registrar together with a fee
of Rs. 5 by money order.
(3) A person who desires his registration as a temporary clinic practitioner
under section 27 of the Act, may apply to Registrar with by eclosing a certificate
of the concerning examination passed for the purpose. The Registrar on receipt
of such application alongwith the certificate shall Issue a temporary registration
certificate.
(4) In case of loss or destruction of the certificate of a registered practitioner,
the person concerned may make an application to Registrar with a fee of Rs.
5 duly certified by a Magistrate for the loss of certificate and another certificate
shall be issued by the Registrar on his being so certified.
33. Change in address —
Every practitioner shall be careful to set that he reports immedrately to
Registrar if there is any change in his address and also reply to him of the
communication received from the Registrar in this connection so that his correct
address may properly be entered in the State register of practitioners.
34. Publication of the State register of practitioners —
It shall be obligatory on the Registrar to get the State register of practitioners
published in every five years provided that the first publication is made
before hundred and twenty days of the expiry of three years from the date
of the constitution of the Board. The Registrar shall along with blank papers,
keep a copy of such printed list in which he shall make entry of any change
or removal as required in that year.
35. Certifiate of registration —
Every such person whose name has been entered into the state register of practitioners
may make an application to Registrar in From VI and shall be entitled to obtain
the certificate of registration. The certificate shall be issued from the
Board Office within 9 months from the date of the receipt of the application
for registration. Instructions to the persons whose application has been rejected
shall be given within 30 days from the date of order of gjrcferoprejection
on their application.
36. Proof of registration —
The last edition of the register shall be the legal proof of register provided
that in case of a person whose name has no been printed in the state register
of practitioners and who can produce a copy duly signed by the Registrar that
his name is registered in the Board Office, the same shall be the proof of
the fact that he is a registered person.
37. Application for inclusion in the practitioners list —
Such persons who are desirious to include their names in the list of parishioners
under sub-section (2) or section 28 of the Act may apply to Registrar in Form
VII together with a fee of Rs. 50. The Registrar after being satisfied with
the application shall include his name in-the practitioners list and intimate
the same to the person concerned.
38. Registration of the practitioners of dissolved Board —
All registered practitioners registered under any of the repealed Acts specified
under section 44 of the Act, if possess the requisite qualification on the
date of establishment of the Board shall be given a certificate after their
names have been registered under rule 35 but before obtaining the certificate,
old registration certificate shall have to be sent to the Registrar.
39. Removal of the practitioners name from the State Register of practitioners—
Registrar shall arrange to publish in the largely circulated daily paper for
the removal of registered practitioners name under sub-section (4) of section
21 of the Act for the reasons given in writing and of no reply has been received
from such practitioner witching six months the Register shall remove his name
from the Register of the practitioners.
CHAPTER-VI
REPEAL
40. Repeal —
All rules corresponding to these rules in force in any region of the State
of Madhya Pradesh immediately before the commencement of these rules are hereby
repealed, Provided that anything done or any action taken under any of the
rules so repealed shall, unless such thing done or action taken is inconsistent
with any of the provisions of these rules; be deemed to have been done or
taken under the corresponding provisions of these rules.
FORM I
(See rule 5)
REVENUE COMMISSIONER DIVISION ....................
List of Registered Practitioners qualified to vote
in the Revenne Commissioner Division ..................................................................................................
under clause (c) of sub-section (1) of section 4 of the Chhattisgarh
Ayurvedic, Unani and Prakratik Chikitsa Vyavasayi Adhiniyam 1970. |
Serial
No.
(1) |
Registration number
No. in case of persons
qualified to vote
(2) |
Name
(3) |
Father's name
(4) |
Address
(5) |
� |
� |
� |
� |
� |
I certify that all the persons whose names are entered in the above
roll are qualified to vote under clause (c) of sub-section (1) of section
4 of the Chhattisgarh Ayurvedic, Unani and Prakratik Chikitsa Vyavsayi
Adhiniyam 1970.
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Date. .................... |
.......................
Returning Officer |
FORM II
(See rule 7)
NOMINATION PAPER
Election under clause (c) of sub-section (1) of section 4 of the Chhattisgarh
Ayurvedic, Unani and Prakratik Chikitsa Vyavasayi Adhiniyam 1970.
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Name
of
candi-date
(1) |
Father's name
(2) |
Registration
numbers and name
of constituency
for which the nomination is made
(3) |
Add-ress
(4) |
Signature of
proposer together with full name and
Registration number
(5) |
Signature of
seconder to-
gether with full name and regi-
stration number
(6) |
� |
|
� |
� |
� |
� |
I hereby declare that I am the person about who me the above particulars
in column (3) are given and that I agree to this nomination.
|
Date. .................... |
(Signature) Candidate .......................
Returning Officer |
Note,—Nomination papers which are not received by the Returning Officer
before
12 noon on the shall be invalid.
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FORM III
[See sub-rules (2) and (6) of rule 19]
VOTING PAPER
Counterfoil Serial No. |
Serial No.
Voting Paper |
One member is to be elected to the Board from the Revenue
Commissioner's Division ..................................by the persons
entered in the electoral roll under
sub-section (1) of section 4 of the Act.
|
I hereby declare that I am the
person Whose name appears in the electoral roll
(1) |
Serial number
(2) |
Name of candidate duly nominated
(3) |
Vote
(4) |
Signed ...............................................
Serial number on the roll .......................
Registration No ...................................
Name of the Constituency ....................
|
I hereby declare that I am the person about who me the above particulars
in column (3) are given and that I agree to this nomination.
|
Date. .................... |
(Signature) Candidate .......................
Returning Officer |
INSTRUCTIONS
- Each elector has one vote.
- He shall vote by placing the mark X opposite the name of the candidate
whom he prefers.
- The voting paper shall be invalid if the mark X is placed opposite
the names of more than one candidate or if the mark is so placed as
to render it doubtful to which candidate it is intended to apply.
- The eletor shall sign the declaration on the counterfoil without
such ignatures the voting paper shall be invalid.
- If an elector fills in more than one voting paper, all votes recorded
by him hall be invalid.
- Voting papers shall be sent to the Returning Officer by registered
post. Voting
papers which are not received by the Returning Officer before 12 noon
on the ........................................shall be rejected.
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FORM IV
(See rule 29)
CHHATTISGARH AYURVEDIC UNANI TATHA PRAKRATIK CHIKITSA BOARD
State Register of Practitiones
|
Serial No.
(1) |
Name
(2) |
Father's Name
(3) |
Qualification and date
when obtained
(4) |
Fees
(5) |
� |
|
� |
� |
� |
Age
(6) |
Place of practice
(7) |
Date and place of registration
(8) |
Signature of Registrar
(9) |
Remarks
(10) |
� |
|
� |
� |
� |
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FORM V
(See rule 31)
Form of application for registrations
|
To,
The Regitrar,
Chhattisgarh AyurvedicThtha Unani Chikitsa
Padhati Avam Prakratik Chikitsa,
Board, Raipur.
I have the honour to request that my name be registred in this State
Register of practitioners maintained for Ayurvedic, Unani and Naturopathy
Systems of practitioners and I may kindly be furnished with the certificate
of registration.
2. The information necessary for registration is given below; Copies
of diplomas, certificates and testimonials duly attested by a Gazetted
officer are enclosed herewith.
3. Rs. 20—as registration fee has been sent by money order under No.........dated.
1. Name
2. Father's name
3. Address
4. Date of birth and age on the date of presenting application
5. Place of practice—
(a) Town or village
(b) Post office
(c) District
6. Qualifications and date of obtaining them
7. The name of college or institution from where he passed the examination.
8. Date of which applicant strarted practice.
It is certified that the above given information is true and I promise
that I shall abide by the rules laid down by the ^Chhattisgarh AyurvedicTatha
Unani Chikitsa Padhati Avam Prakratik Chikitsa Board from time to time
in respect of etiquetie of practice to be observed in practitioner.
Date ...........................
Signature of applicant
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FORM VI
(See rule 35)
Chhattisgarh Ayurvedic Tatha Unani Chikitsa Padhati Avam Prakratik
Chikitsa Board, Raipur
(Seel)
Certificate of registration
|
Certificate No.
1. Name
2. Father's name
3. Address
4. Qualifications
5. Age
6. Place of practice
7. Date of registration
It is certified that this is a true copy of the entry of the above specified
name in the State Register of practitioners maintained by the Chhattisgarh
AyurvedicTatha Unani Chikitsa Padhati Avam Prakrastik Chikitsa Board
Raipur.
Raipur....................
Dated....................
|
..................................
Registrar
Chhattisgarh Ayurvedic Tatha Unani
Chikitsa Padhati Avam Prakratik
Chikitsa Board, Raipur |
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FORM VII
(See rule 37)
Application for Inclusion of name in the Paractitioners list
|
To,
The Registrar,
Chhattisgarh AyurvedicThtha Unani Chikitsa
Padhati Avam Prakratik Chikitsa, Board, Raipur.
Dear Sir,
I have the honour to request you to please enlist my name in the practitioner's
list maintained by you and I may be informed of the same.
2. The Information necessary for enlistment being given below alongwith
relevant copies of certificates duly certified by the Magistrate,—
3. Rs. 50—being the enlistment fee has been remitted by money order
No. ...............dated .......................
(1) Name
(2) Father's name
(3) Address
(4) Date of birth and age (on the date of submitting the application)
(5) Place of practice,—
(a) City or Village
(b) Post Office
(c) District
(6) Duration of practice
I solemnly affirm that I have never applied for registration or enlistment
ever before. I have been practising at the above Place for the last
.................years.
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..................................
Signature of applicant |
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