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Undertaking

PM&DC Undertaking Format for Doctors

Download PM&DC Undertaking format for doctors in Pakistan. Affidavit for registration with Pakistan Medical & Dental Council. Editable and printable form.

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PM&DC Undertaking Format

UNDERTAKING

 I undertake to abide by the Code of Ethics by the PM&DC for registered Medical / Practitioner and will inform the Registrar, Pakistan Medical and Dental Council of any change of address of residence or practice with in thirty days. I have never been registered with PM&DC in the past. If considered necessary, PM&DC may disclose any any information when asked for and I liberate PM&DC for any liability for this action. I further undertake that if there has been an erroneous entry in the certificate in the certificate and I am told by the PM&DC to send the certificate back to PM&DC I shall do so immediately and shall not any benefit of the error. Above information is correct and nothing has been concealed and if found false or contrary to PM&DC rules. I am liable for necessary action by the Council leading to cancellation of registration. I take full responsibility of authenticity of documents submitted along with the application.

 

Full Name of Doctor. _______________________

 

CNIC No.______________________________

Dated:______________________

 

 

Signature:_________________

 

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