S.L. 464.10 Art. 53Affixing of seal to certificates of registration and to formal commissions issued by the Council. - Title to Registration and Additional Qualifications COUNCIL Number of Registration - Title to Registration FORM OF COUNCIL Application I apply to be My name is I was born Nationality My home or ......

(1) The Registrar, or another officer of the Council authorized in writing by the President of the Council, shall be authorized to affix the seal to all certificates of registration and to all formal commissions issued by the Council.

(2) Save as aforesaid, the seal shall be affixed only by order or under the authority of the Council.

(3) Any order for affixing the seal shall state the object of its use and shall be entered in the minutes of the Council. FIRST SCHEDULE

(Regulation 39) FORM - EUROPEAN UNION LIST COUNCIL FOR THE PROFESSIONS COMPLEMENTARY TO MEDICINE MALTA The ........................ Register

Original Number Date of Surname Name Address of Registration Registration

SECOND SCHEDULE

(Regulation 39) FORM - NON EUROPEAN UNION LIST FOR THE PROFESSIONS COMPLEMENTARY TO MEDICINE -MALTA The ......................... Register

Title to Duration of Registration Surname Name Address

Registration and Additional Qualifications From To THIRD SCHEDULE

(Regulation 39) FORM OF TEMPORARY LIST FOR EUROPEAN UNION CITIZENS COUNCIL FOR THE PROFESSIONS COMPLEMENTARY TO MEDICINE MALTA The ....................... Register

Date of

Surname Name Address Temporary Expiry date

Registration FOURTH SCHEDULE

(Regulation 41) APPLICATION FOR REGISTRATION IN THE REGISTER OF THE FOR THE PROFESSIONS COMPLEMENTARY TO MEDICINE -MALTA

for Registration in the .................................................. Register registered under article 28 of the Health Care Professions Act. ........................................................................................................... (Give full name in capital letters, surname underline) at ................................................. on .................................................. (day, month, year) ........................................... I.D. No./Passport No. .............................. * permanent address for entry in the Register is ..............................................................................................................................

..............................................................................................................................

to which my certificate of Registration should be sent is .............................................................................................................................. ............................................................................................................................. or Mobile No. ................................... E-mail ...................................

of qualification(s) .............................................................................. which conferred ....................................................................................... or entity by which granted ....................................................................

that I am/am not registered in another Health Care Profession Register indicate which Register ..................................................

applicant ....................................................... application .................................................. applicant authorizes the Council to make use of the data in accordance to the Protection Act (Cap. 586). reserves the right to refuse to give details of the registered persons in discretion, which discretion cannot be unreasonable withheld.

addresses in full. Amended by: FIFTH SCHEDULE L.N. 219 of 2022. (Regulation 41) Substituted by: L.N. 154 of 2023.

REQUIREMENTS FOR REGISTRATION WITH THE COUNCIL PROFESSIONS COMPLEMENTARY TO MEDICINE