Panchayat:Repo18/Law Manual Page0609: Difference between revisions
('7. If a training centre, subjects in which training is proposed,training facilities and number of trainees proposed to be...' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു) |
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<div style="text-align: center;">'''For Office Use'''</div> | <div style="text-align: center;">'''For Office Use'''</div> | ||
1. Date of receipt of application: | 1. Date of receipt of application: | ||
2. Whether registration fees has been remitted or not: | 2. Whether registration fees has been remitted or not: | ||
3. Enquiry report: | 3. Enquiry report: | ||
4. Whether registration has been given or not (if not, state reason briefly): | 4. Whether registration has been given or not (if not, state reason briefly): | ||
5.If registered, number and date of registration: | 5.If registered, number and date of registration: | ||
<div style="text-align: right;">Signature of Secretary</div> | <div style="text-align: right;">Signature of Secretary</div> | ||
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<div style="text-align: center;">'''REGISTER RELATING TO PRIVATE HOSPITALS AND PRIVATE PARA MEDICAL INSTITUTION REGISTERED IN......................... VILLAGE PANCHAYAT'''</div> | <div style="text-align: center;">'''REGISTER RELATING TO PRIVATE HOSPITALS AND PRIVATE PARA MEDICAL INSTITUTION REGISTERED IN......................... VILLAGE PANCHAYAT'''</div> | ||
<div style="text-align: center;">'''DURING THE FINANCIAL YEAR...''' </div> | <div style="text-align: center;">'''DURING THE FINANCIAL YEAR...''' </div> | ||
1. Name and address of institution: | 1. Name and address of institution: | ||
2. Registration Number: | 2. Registration Number: | ||
3. Date of registration / date of renewal of registration: | 3. Date of registration / date of renewal of registration: | ||
4. Name and address of person who runs: | |||
4. Name and address of person who runs: | |||
5. Date of starting of the institution / date on which the institution was started: | 5. Date of starting of the institution / date on which the institution was started: | ||
6. If a hospital, number of beds: | 6. If a hospital, number of beds: | ||
7. (1) Number of Doctors: | 7. (1) Number of Doctors: | ||
:(2) Number of other employees working in the institution (category wise): | :(2) Number of other employees working in the institution (category wise): | ||
8. In the case of training centres subjects in which training is given,facilities for training and number of trainees etc.: | 8. In the case of training centres subjects in which training is given,facilities for training and number of trainees etc.: | ||
9. Particulars regarding fees levied for registration/renewal of registration: | |||
10. Particulars regarding annual fees levied: | 9. Particulars regarding fees levied for registration/renewal of registration: | ||
11. Remarks: | |||
10. Particulars regarding annual fees levied: | |||
11. Remarks: | |||
12. Signature of Secretary and date: | 12. Signature of Secretary and date: | ||
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PRIVATE PARA MEDICAL INSTITUTIONS'''</div> | PRIVATE PARA MEDICAL INSTITUTIONS'''</div> | ||
The....... *private hospital / private para medical institution in . ...................... Village Panchayat is *registered / has renewed registration under the Kerala Panchayat Raj (Registration of private hospitals and private para medical institutions) Rules, 1997 as No....................on the day of................... (month)................. (year). The said registration is valid upto the end of the financial year........ | |||
Address of the institution: | |||
Name and address of the person who runs the institution: | |||
Place: <div style="text-align: right;">Signature and name of Secretary</div> | |||
Name and address of the person who runs the institution: <div style="text-align: right;"> | |||
Date : | Date : | ||
:::(Seal of Village Panchayat) | :::(Seal of Village Panchayat) | ||
---- | ---- | ||
<small>* Strike out which is not applicable</small> | <small>* Strike out which is not applicable</small> | ||
Latest revision as of 06:51, 24 January 2019
7. If a training centre, subjects in which training is proposed,training facilities and number of trainees proposed to be admitted: 8. Particulars of registration fees remitted
1. Date of receipt of application:
2. Whether registration fees has been remitted or not:
3. Enquiry report:
4. Whether registration has been given or not (if not, state reason briefly):
5.If registered, number and date of registration:
1. Name and address of institution:
2. Registration Number:
3. Date of registration / date of renewal of registration:
4. Name and address of person who runs:
5. Date of starting of the institution / date on which the institution was started:
6. If a hospital, number of beds:
7. (1) Number of Doctors:
- (2) Number of other employees working in the institution (category wise):
8. In the case of training centres subjects in which training is given,facilities for training and number of trainees etc.:
9. Particulars regarding fees levied for registration/renewal of registration:
10. Particulars regarding annual fees levied:
11. Remarks:
12. Signature of Secretary and date:
The....... *private hospital / private para medical institution in . ...................... Village Panchayat is *registered / has renewed registration under the Kerala Panchayat Raj (Registration of private hospitals and private para medical institutions) Rules, 1997 as No....................on the day of................... (month)................. (year). The said registration is valid upto the end of the financial year........ Address of the institution:
Name and address of the person who runs the institution:
Place:
Date :
- (Seal of Village Panchayat)
* Strike out which is not applicable