Schedule-2
(Relating to Sub-rule (1) of Rule 9)
Register
Registration No.
Page No.
Name:
Address:
Father’s name:
Working institution and address:
Educational qualification:
(a) General
1.
2.
3.
4.
(b) Professional
1.
2.
3.
4.

Date of decision of the Council: Signature of certificate holder
Signature of particulars provider Registration date:
Addition and amendment to the particulars
Signature of the registrar: