Singapore legislation
Schedule 3
Schedule 3
THIRD SCHEDULEFORM ARegulation 18(2)MEDICAL REGISTRATION ACT(CHAPTER 174)S No. ………………. Date: …………………..CERTIFICATE OF EXPERIENCE This is to certify that Mr/Ms …………………………….……….. has satisfactorily completed 12 months of housemanship training in the following hospitals or institutions: HOSPITAL/ INSTITUTIONFROMTODISCIPLINE General Medicine General Surgery/ Orthopaedic Surgery* (Insert other approved disciplines, as applicable) * Delete as applicable.SIGNATURE:NAME:DESIGNATION:ORGANISATION:The following words are to appear on the reverse of the certificate: “The period of employment required for the granting of a certificate of experience under section 25 of the Medical Registration Act shall be 12 months and shall consist of —
at least 3 months in general medicine;
at least 3 months in general surgery or orthopaedic surgery; and
the remaining period in such discipline or combination of disciplines as the Medical Council may approve.”.FORM B[Deleted by S 677/2012 wef 01/01/2013]FORM C[Deleted by S 539/2022 wef 01/07/2022]FORM DRegulation 59(1)MEDICAL REGISTRATION ACT(CHAPTER 174)NOTICE OF INQUIRY BY INTERIM ORDERS COMMITTEEDate: ………………Dear Sir/Madam, Notice is hereby given to you that a hearing is to be held by an Interim Orders Committee to determine whether, pending the conclusion of the inquiry or proceedings under Part VII of the Medical Registration Act —
your registration should be suspended or made subject to conditions; and
such action is necessary for the protection of members of the public or is otherwise in the public interest or in your interest or both,arising from the facts and circumstances set out below. The facts and circumstances are: (state the matters giving rise to an interim inquiry by the Interim Orders Committee) The hearing will be held on (specify date) at (specify place) at (specify time). You are invited to submit observations on the case in writing and also to appear before the Interim Orders Committee at the place, date and time specified above, for the purpose of making submissions on the case. You may appear in person or by counsel. Please inform the executive secretary of the Council, at least 7 days before that date, whether you will be appearing, and if so whether in person or by counsel. If you intend to raise any defence at the hearing, you or your counsel shall, at least 7 days before the date fixed for the hearing, send to the Council’s solicitor the report of any expert witness whom you or your counsel intend to call at the interim inquiry. You are also requested to co‑operate with the Council’s solicitor to prepare an agreed statement of facts and an agreed bundle of documents or exhibits to be used at the hearing. If you desire to make any application that the hearing be postponed, you should send a written application to the executive secretary of the Council at least 7 days before the date fixed for commencement of the hearing, stating good reasons for such postponement. Yours faithfully, (Signed)Council’s solicitor.FORM ERegulation 65(4)(a)MEDICAL REGISTRATION ACT (CHAPTER 174)STATUTORY DECLARATION FOR RESTORATION TO REGISTER UNDER SECTION 56 I, ……………………………………………………….…….………………...…………..……….…(Full name in block letters)of ………………………………………………………………………………..….…………......……..(Address in full)do solemnly and sincerely declare as follows: 1. I am the person originally registered as ....................................................... with the qualification or status of ................................................................................... and I hereby apply for the restoration of my name to the ...............................* 2. To the best of my knowledge, I am not suffering from and have never suffered from any physical or mental condition which impairs my fitness to practise as a medical practitioner and I am not undergoing and have not undergone any treatment for such a condition except for ..................................................................... (give particulars of any such condition and treatment). 3. On the ......... day of ........................ 20 ...... the Disciplinary Tribunal ordered my name to be removed from the ..................................* under section 53 or 54 of the Medical Registration Act and the offence for which the Disciplinary Tribunal ordered the removal of my name was ....................................... 4. Since the removal of my name from the ......................................................* I have been residing at ......................................................... and my occupation has been ................................................................ 5. The grounds of my application are in the attached statement, and I make this solemn declaration by virtue of the Oaths and Declarations Act (Cap. 211), and subject to the penalties provided by that Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular. Signed ............................Declared at ................................, this ............ day of ......................... 20 .......... Before me ...........................................................(Signature and title of officer before whom the declaration is made).*State relevant registers under the Medical Registration Act.FORM FRegulation 65(4)(b)MEDICAL REGISTRATION ACT (CHAPTER 174)CERTIFICATE OF IDENTITY AND GOOD CHARACTER I ......................................................................................................................... of ........................................................................................................... certify as follows: 1. I am a registered medical practitioner of ........... years’ standing. 2. I am not the spouse, parent, sibling or child of ....................................* 3. I have read the statutory declaration of .................................................* made on the ......... day of ........................ 20 ...... 4. The said ........................................................................................* is the same person as ............................................................................. whose name formerly stood in the ........................................................................† with the following qualifications or status ..................................................................... 5. I have been and am well acquainted with the said .................................................................................................................* both before and since his name was removed from the Register, and I believe him to be a person of good character, and the statements in the said declaration are to the best of my knowledge, information and belief true. Signed: .................................. Date: ......................................*Enter name of person applying for restoration to register under section 56 of the Medical Registration Act.†Enter relevant registers under the Medical Registration Act.