Test Form
Test Form
Test Form
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.
.....................................................................
(Mobile) ................................................................................
(E-Mail) ..............................................................................
Yours faithfully
Place : (Sign)
Date :- 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. 300/- Extra for I-Card