Every registered practitioner whose name appears in the electionrolls shall qualifyfoifillinghi~ nomination paper subject to fuElhg eligibility conditions laid downin the Act. The nominationshall be in - - form 10. Every nomination paper duly completed and signed by the proposer and the seconded and subscribed by the candidate himself as consenting to the - nomination shall be delivered to the returning officer on or before the date - appointed for receipt of nomination papers. Nomination papers received after the time so fixed shall be summarily paper record thereon the date and time of . - - its receipt by him. Only registered practitioners registered with the Council, whose name appears in the electoral roll, can be nominee, proposer and seconded. There shall be a non-refundable fee of one thousand rupees for each nomination payable by the candidate through a Bank Draft favouring "Nagaland Medical Council" along with the nomination paper. This fee may be revised by the Government &om time to time.
13. Scrutiny of nomination papers- Onthe date and time appointed for scrutiny of nomination papers, the candidates and his proposer and seconded may attend the proceedings at the appointed time and place. The Returning Officer shall examine the nomination papers and completes the scrutiny. On completion of the scrutiny of the nominations and after the expiry of the period within which a candidate may withdraw his candidature, the Returning Officer shall forthwith under his signature place on the notice board at the office of the Council a list of the contesting candidates.
14. Polling - If the number of contesting candidates does not exceed the number of vacancies to be filled in, the Retuming Officer shall forthwith declare such candidates as duly elected to fill such vacancies without any polling and report the names of such candidates to the Government. When there are more contesting candidates then the existing vacancies, the election shall be conducted within the stipulatedtime. The Retuming Officer shall arrange for polling by printing ofballot papers with the names ofthe contesting candidates entered in alphabetical order.
The voter shall produce proof of identity and residence at the time ofpolling. The identity proof may be in the form of regiskation certi6cate issued f?om the Council, passport, and electoral card, driving license or any other photo identity card issued by the Government.
15. Custody of ballot papers- The ballot boxes shall be kept in a safe custody of the Returning Officer and shall not be open till counting of votes begins.
16. Counting of votes and declaration of results of elections- The scrutiny and counting of votes shall be undertaken by the Returning Ofticer at the time, day and place appointed. Acandidate and not more than one representative, duly authorized by him, may remain present at the time of counting of votes. After the counting ofvotes is completed, the Returning Officer shall forthwith declare the result of election. If there are an equal number of votes in favour of two or more candidates for one vacancy. the election shall be determined by the - " Returning Officer by draw of lots in the presence of the candidates or their reuresentatives. The Returning OEcer shall communicate the result of the election - to-the Government who shall notify the cofistitution of the new Council. After the declaration of the result, the Returning Officer shall seal the ballot papers and all other documents relating to the election and shall retain in the same with himself in safe custody for a period of six months and thereafter cause them to be destroyed.
17. Election of President and Vice-President- As soon as possible as and not later than fifteen days after the constitution of the new Council, the inembers shall elect the successor President and Vice-President of the Council from zinong themselves in ameeting ofthe Council to be held at Nagaland. his meeting s ' n i be convened and conducted by the Registrar. The election of President andvice- - President shall be by a majority of votes of the members present.
CONDUCT OFBUSINESS OF THE COUNCIL
18. Power to appoint committee/ Sub- Committees- The Council may appoint committee/Sub Committee to carry out the hctions of the Council.
19. Calling of meetings- The Council shall meet on such date, time and place as maybe fixed by the President. The President may, whenever he thinks fit or upon a written requisition of not less than one third members call an extraordinary meeting. The President and the Registrar shall discuss and decide the agenda for themeeting.
20. Notice for calling at meeting- AU members ofthe Council shall be given thirty clear day's notice for an ordinary meeting and ten clear days' notice for an extraordmary meeting. Every notice shall also be passed at the OEce ofthe ComciL Such notice shall specify the date, time, place and agenda of the meeting. The Registrar shall send to all members a copy of the notice.
21. Motions for insertions in agenda- Any member may send a motion to be included in the agenda for an ordinary meeting so as to reach the Registrar twenty clear days before the date fixed for such meeting and seven clear days in case of extraordmary meetings. The President and the Registrar shall discuss and decide whether or notto include such motion1 motions in the agenda, and where any motion is disallowed, the reason for doing so shall also be communicated along with the agenda to the members who sent the motion
22. Attendance of the meeting- At eachmeeting, an attendance register shall be placed in the meeting room and every member present shall sign against his name in the register.
23. Business to be transacted at meeting- At any meeting, no business or proposition other thenthe specified in the agenda shall be taken up, provided that the President, in his discretion, may permit any business or proposition to be discussed which is of anurgent nature and which was not entered in the notice for meeting.
24. Minutes of the meeting-The minutes of the meeting shall be recorded by the Registrar and the same shall be kept in the office of the Council.
25. Approval ofwritten proposal by fhe circulation- Whenever it appears necessary to the President to consider a proposal by circulation, he may, instead of convening - ameeting, direct the ~ e ~ i s c a r to circulate awrittenpropo&il for the observation and votes of the members ofthe Council and then decide onthe basis of majority.
EXECUTIVE COMMITTEE
26. Constitution- The Executive Committee shall consist of five members. The President ofthe Council shall be Ex-Officio Chairman ofthe Executive Committee.
The Council shall elect the other four members ofthe Executive Committee from amongst themselves as followsa) One member to be elected fiom amongst members nominated under Clause(a) of sub-section (3) of Section 3 of the Act b) One memberto be el& from amongst members nominated under Clause
(b) of sub-section (3) of Section3 of the Act c) One member to be elected &om amongst members nomina-ted under Clause
(c) of sub-section (3) of Section 3 of the Act d) One member to be selected fiom either Dean of Medical Faculty of the University of Nagaland or Director of Health Services of the Government.
27. Calling of meeting- The Executive Committee shallmeet on suchdate, time and place as may be fixed by the President. The President may, however if he thinks fit and shall, upon a written requisition by not less than three members call an extmordmq meeting ofthe Executive Committee on short notice. The President and the Registrar shall discuss and decide the agenda for the meeting.
28. Notice of the meeting- All members of the Executive Committee shall be given seven clear days' notice of an ordinary meeting and three clear days notice in the case of an extraordinary meeting. Such notice shall specify the place, date and time ofthe meeting and state whether the meeting is a general meeting or a special meeting and the business to be transacted threat. The Registrar shall send to all Members a copy of the notice.
29. Attendance at meeting- At eachmeeting, an attendance register shall be placed - - - in themeeting room and every member present shall sign against his name in the register. Attendance ofthree members ofthe Executive Committee shall constitute a quorum
30. Business to be transacted at meeting-At any ordinary meeting and in case of extraordinary meeting no business other than specified in the notice calling such meetings shall be transacted provided that the presiding authority may permit any business to be discussed which is of theurgent nature and which was not entered in the notice for meeting. AU questions at themeding ofthe Executive Comrc~ftee shall be decided by amajority of the members present and in consultation with the Registrar.
31. Minutes of themeeting- The meeting ofthe Executive Committee meeting shall be recorded by the Registrar and the same shall be kept in the office of the Council.
32. Complaint against medical practitioner-The Councilmay inquire into complaint against medical practitioner either suo motto or on the basis of any complaint made to the Council in respect of misconduct or negligence of any medical practitioner for the purposes of the Act through the Disciphmy Committee. The Proceedings shall be conducted by the Registrar in the presence of Chairman, Disciplinary Committee and at least two members thereof sitting together.
The complaint shall contain the following particulars-
(a) the name, description and address of the complainant;
(b) the name, description and address of the opposite party or parties, as the case may be, as far as they can ascertained;
(c) the facts relating to the complaint, whenthe cause of action arose and what are the grounds or causes of the complaint;
(d) the documents in support of the complaint if any;
(e) the relief which the complaint claims.
No complaint shall be entertained unless it is in writing and signed by the person making it. The complaint shall be verified by the complainant. The complainant shall file six copies of the complaint along with such number of copies as there are opposite parties in the complaint. All anonymous and fkivolous complaint shall be rejected.
Procedure on receipt of complaint- The Council shall on receipt of a complaint-
(a) Refer a copy of the complaint to the opposite party mentioned in the complaint directing him to give his version of the case within a period of fifteen davs of receivt of copy of the complaint. . * -
(b) Where the opposite party on receipt of a complaint referred to him under Clause (a) denies or disvutes the allegations contained in the comvlaint, . , - or omits or fails to take any action to represent his case within the time given by the Council, the Council shall proceed to adjudicate the complaint-
(i) On the basis of evidence brought to its notice by the complainant where the opposite party omits or fails to take any action to represent his case within the time given by the Council, or
(ii) On the basis of evidence brought to its notice by the complainant and the opposite party, where the opposite party denies or dispute the allegations contained in the complaint.
(c) On the date of hearing or any other dates to which hearing could be - - adjourned, it shall be obligatory on the parties to appear before thz Council.
Wherc thc complainant fails to appcar hcforc thc Cour~cil on such d v s , the Council may in its discretion either opposite party fails to apprar on the date of hearing. the Council mav decide the complain! ex-pane. -
(d) The decision ofthe inquiry shall be implemented and communication to the respective parties and to other as may be required. In case there is any difference of opinion amongst themselves, the opinion of the majority shall be the decision.
CONDITIONS OF SERVICE OF REGISTRARIDEPUTY REGISTRAR AND OTHER STAFF AND THE SUPERVISORY POWERS AND DUTIES OF REGISTRARIDEPUTY REGISTRAR
33. Appointment of RegistrarIDeputy Registrar.
(a) The post of Registrar / Deputy-Registrat shall be permanent. The post of Registrar shall be in the basic pay equivalent to the basic pay scale of Chief Medical Officer of the State Services and the post of Deputy Registrar shall be in the basic pay scale equivalent to the basic pay scale of Deputy Director of the State Health Services.
(b) The Council shall be the appointing authority for the post ofRegisbx/Deputy Registrar and the RegkhxiDeputy Registrar shall bethe appointing authority for all other appointments in the Council.
(c) The post of Registrar shall be fdled by the Council by promotion of Deputy Registrar. The post of Deputy Registrar shall be filled by the direct selection by the Council from amongst suitable candidates having minimum qualification of M.B.B.S. with minimum of ten years experience after M.B.B.S. in Governmentmublic SectoriPrivate Sector or nractice. and with maximum age limit of fifiy years on the date ofapplication, candidates with Post-Graduate qualifications shall be given preference.
d ) The RegisuarlDeput) Registrar shall draw allowances equivalent to allowances admissible to similar vosts in the Government like dearness allowances, house rent allowance, city compensatory allowance, transport allowance, conveyance allowance, non-practicing allowance, academic allowance, Post-Graduate allowance, travelling allowance, daily allowance, etc. The leave entitlement and travelling entitlement shall be similarto that of employees of Government in similar posts.
34. Functions of RegistrarlDeputy Registrar. The RegistrarlDeputy Registrar Shall Perform statutory functions as prescribed under the Act and these rules. Further, he shall conduct and have charge ofthe correspondence of the Council and shall - issue all requisite notices in the manner required under these rules. As Executive Officer ofthe Council, he shall be the competent authority to sanction all financial transactions. The Registrar or any other officer functioning as Registrar or his nominee shall be authorized to lodge complaint in the Court cases onbehalfof the Council with the assistance of an advocate.
35. Appointment of other staff members. The appointing authority may consider in situ-~romotions of the staffmembers. The staff members shall draw pay and - allowances eauivalent to similar vost in the Government and shall be elisble to A - draw allowance, house rent allowance, daily allowance, etc. The leave and travelling of the staffmembers shall be equivalent to that of emnloyees of Government in - similar posts. The appointing authoritymay also appoint staffmembers oncontract basis.
36. Retirement. The normal age for retirement for all employees shall be as applicable to the employees ofthe Government. The council may, grant extension of service to any employee for periods not exceeding one year at a time and not more than two suchextensions shall be allowed to anyone even in exceptional circumstances.
37. Resignation.
(a) The Registrar may resignhis office by giving three monthsnotice in writing to that effect to the President and such resignation shall take effect h m the date of acceptance of such resignation by the council. If he leaves his ofice without giving any notice as aforesaid, he shall be liable to deposit an equivalent to total emolumentspayable in lieu of such notice.
(b) Any other employee ofthe Council may resignhis office by giving one month notice in writing to that effect to the Registrar if he is temporary, and three months notice ifhe is permanent and such resignation shall take effect om the date of acceptance thereof. In the case of failure to give required notice, the employee shall be liable to deposit an amount equivalent to total emoluments payable in lieu of notice period.
38. Termination of Service. The Council may terminate the service ofany employee otherthanthe Registm/DeputyRegistm, a h d u e to enquirygiving such employee fair opportunity to explain as to why his services should not be terminated. The Council may impose any other giving such employee a show cause notice. The Council may, with the previous sanction of the Government terminate the service of the RegistrartDeputy register as per the procedure laid down under the Public Servants (Inquiries)Act.
39. Provident fund, gratuity and other terms of service. The Council shall establish a provident fimd and provide for gratuity, in accordance with the statutory provisions. Other terms of service like leave, leave encasement, leave travel concession, etc., shall be similar to those applicable to the employees of the Government. The Council shall provide medical insurance policy for the staff members &their dependant family andwillalso~eimburse a sumup to a maximum offdteen days basic pay of an employee per year for out-patient medical treatment for himself and his dependent family.
40. Maintenance ofAccounts and other registers
(a) The Council shallmaintain the following registers:-
(1) Cash Books
(2) Ledger
(3) Stock register
(4) Receipt books
(5) Register for grants
(6) Voucher files
(7) Attendance roll
(8) Register of leave accounts
(9) Service books and (1 0) Other register as may be necessary
(b) The annual accounts shall be audited in accordance with statutory and administrative requirements as applicable.
(c) Bank Account of the Council shall be openedNationalized/Scheduled Banks. The RegistrariDeputy Registrar and the Accounts Officer of the Council shall be the authorized signatory of Bank Accounts of the Council.
(d) The Council may deposit its own hnds in fxed deposits inNationalized1 Scheduled Banks or may invest its own funds in any of the securities specified by the Registrar.
41. Migratioflransfer - request for migration to another Medical Council shall be considered by the Council and after the approval by the Council, "No Objection" Certificate. shall be issuedby the Registrar on receipt of application along with the fees as prescribed.
42. Certif~cate of good standing Certificate of good standing may be issued by the Registrar to registered practitioners on receipt of an application along with fees as prescribed provided that no enquiry is pending against the applicant.
The register shall be valid for aperiod of sixmonths fiom the date of issue.
43. Honorarium for attendance of meetings Asum of five hundred rupees per meeting shall be payable as honorarium to Members of the Council, Executive Committee or co-opted members fiom outside/assessor for attending meetings.
This amount may be revised fiom time to time by the Council.
44. Fees
(a) Fee shall be levied by the council as shown below:
For recording change of name in
(b) The above fee structure may be revised komtime to time.
12 13 (SENTNANGER IMCHEN) Commissioner & Secretary Health & Family Welfare Nagaland, Kohima Annual listing fee for enlq ofname inthe website For issue ofNo Objection Certificate Five hundred rupees Five hundred rupees STATEMENT OF OBJECT AND REASONS In the interest of safety of life, it is deemed appropriate that health care system in the State is properly regulated. The Modem Medical care cannot be provided without the help of Medical personnel. And whereas, there are laws for laying down standards and creating bodies for enforcement in the case of Medical Personnel.
And the best way to regulate Medical Personnel is through the State Medical Council Act.
In the recent years, there has been rapid growth of private Medical Institution in the State. There is no regulation by any professional body over Laboratory and Diagnostic centres.
Accordingly, it is felt expedient to establish a Medical Council to superintend, overthe allied health professionals and its institutions with the powers to recognize, register, lying down norms and standards for various courses and trainings, uniform curricula, physical and inhstmctural facilities, staffingpattem and staffqualilication, quality instruction, assessment and examination system.
(IMKONG L. IMCHEN) MINISTER Health & Family Welfare Nagaland APPENDIX -A FORMAT FOR REGISTER OF MEDICAL PRACTITIONERS Photograph registered practitioner Dateof Billh Address Residential Gender SI No Nationality Father's Name Name Mothers Name (ddlmmlyy) 7 1 2 5 Address 8 6 3 Telep Hone No./ Fax No./ E-mail ID 1 4 Category (Gener AIIAPST) 12 Qualification General Degree Medical Degree Permanent Address 9 Professional Address 10 Description d Qualification 17 lnilal of Registrar 28 Year of Qualificafionl Completion Internship 20 Medical College1 instittik 18 Description of Qualification 13 Remarks 29 APMCRegistration MCI Registration If any Board/ University1 Licensing Body 19 InsNution 14 Boardl University 15 26 Registration in other state, if any 21 Yearof Qualib ~ m 16 27 23 22 24 25 FORM - 1 Application form for Direct Regishation Receipt No ............
Date ....................
(For office use) To, The Registrar, Nagaland Medical Council, Photograph of the regispractitioner Sir, I hereby request that my name and other particulars mentioned below may be entered in the StateRegister ofNagalandMedicd Council as requiredunder section of Nagaland Medical Act 2014.
1. Name of the Application (block letters)
2. Father's I Husband'sName
4. Gender
5. Nationality 6 . Date of Bii(date, month, year)
7. Address
(a) ResidentialAddress
(b) PermanentAddress
(c) ProfessionalAddress
8. TelephoneNo./MobileNo.lFaxNo./EmaiIID
9. Categov (General IAPST)
10. Qualifications
(b) Medial Degree
(a) General Degree 1 1. Details of Internship (include separate sheet, if require)
12. MCI RegistrationNo. & Date(if any)
13. (a)RegistrationNo. & Date, if any in other State @)Authority under who registered
14. (a) BankDraftNo. &Date
15. (b) Draft Prepared fiom(Bank) I submit herewith original certificates for verification and submit attested copies of the same certificates if registered elsewhere (MCI and other State)
(i) Bii CertiticateA4atricnlate Certificate/SSC Exam certificate with date of birth.
i MBBS Degree / Post Graduate Degree / Diploma / Post Doctoral Degree /any other i State Medical CounciVMedical Council Of India Registration certificate with MBBS Qualitication.
(iv) O r i d Internship Completion C d ~ c a t e .
(v) Other evidence in support of my having obtainedthe qualification which Ipossess.
(vi) No Objection Certificate fiom State Medical Council where earlier registered.
(viii Three recent passport size photographs with name and signature at the backside
(viii) Bank Drafts Rs 1000/- (Rupees One Thousand Only) in favour of 'Nagaland Medical Council'.
(a) In case of eesh registration.
(i) Birth Certificate / Matriculate Certificate / SSC Exam Certificate with date of birth.
6) MBBS Degree / Post Degree /Diploma/ Post Doctoral Degree.
(iii Original Internship Completion Certificate.
(iv) Other evidence in support ofmy having obtainedthe qualification which1 possess.
(v) Three recent passport size photographs withname and signature at the backside.
Year of QmMication Name of the Boardl University Year of Qwhfication /completion of Internship Name of the School/ College/ Institution S1 No Name of the Boardl University Description of QuaMotion Name of the School College/ Institution Sl No.
Description of QuaWication
(vi) Bank Draft of Rs I000/- (Rupees One Thousand only) in favour of 'Nagaland Medical Council'.
DECLARATION I solemnly affm and declare that the particulars furnished above by me are true to the best of my knowledge and belief and I undertake to abide by the code of conduct & Ethics ofNagaland and Indian Medical Council and by Rules ofNagaland Medical Coulcil.
Date. .......................
Signature of the Applicant.
(For office use only) Received the above documents in original) ....................... Signature of registered person Name .................................................................
Date ...................................................................
FORM 2 REGISTRATION CERTIFICATE CERTIFICATE OF REGISTRATION This is to certify that.
1. Dr ...................... (Whose sign is in box) , son/daughter/wife of ........ ............. ............ ............................ Born on I.. / (date/month/ye) possessing .......................... the qualification(s) Has been duly registered under the Nagaland Medical Council Act 2014.
................................... 2. Dr has solemnly bed to abide by the rules and Regulations of Nagaland Medical Council Rules, 2014 and ethics ofNagaland Medical Council (professional conduct, etiquette and ethic) Regulations.
3. In witness whereof, the seal of the Nagaland Medical Council and the signature of the Registrar is herewith &ed.
4. subject to the provision of the said Act this certificate is valid up to aperiod of S(five) years fiom this date.
Date. ................................
Signature of Registrar Wlth seal ADDITIONAL QUALIFICATION:
Registration Renewed:
Date: Renewal seal Signature of Registrar with seal -595- Signature of Register with seal Date of Regishation in APMC Register S1 No.
Descriptionof QwMcation Important Notice:
1. Registered Medical practitioners should sent immediate notice to the Registrar of Nagaland Medical Council if there is any change in the registered address.
1. The Registration must be renewed before the expiry of 5(five) years from the date of last registration or renewal..
2. M e r the publication ofnames in the printed medical Register, the last additionof the Register alone is legal evidence of Registration
3. The Registered practitioner shall display the Certificate of Registration in a conspicuous part in place of hisher practice, if he or she has more than one such places, in any one of them FORM 3 APPLICATION FORM FOR CONTINUATION OF NAME IN THE REGISTER Receipt No ................
.......................... Date To, The Registrar, Nagaland Medical Council passport photograph Sub: Continuation of name in the Register Sir, I request that my name may be continued in the State Register maintained by Nagaland Medical Council
1. Name of the Applicant (block letters)
2. Father's Name 1 Husband's Name
3. Mother's Name
4. Gender
5. Date of B i (date, month, year)
6. Naiionalily
7. Category (General IAPST)
8. Address Residential Address Permanent Address Professional Address
9. TelephoneNo./MobileNo./FaxNo.IEmail ID
10. Details of QuaMcation
11. NagalandMedical Council Registration:
Certificate No. &Date
12. Present Occupation 9 No.
I submit herewithorid certificates for vedicationand submit attestedcopies of the same certificates:
(a) Two recent passport size photographs with name and signature at the backside.
(b) Nagaland Medical Council Registration Certificate
(c) MBBS DegreeIPost Graduate Degree/DiplomalPost-Doctoral Degree Certificate.
I hereby submit a Bank Draft No ........................ Dated ................... prepared .................... from (Bank) for Rs 1000/- (Rupees One Thousand) as non-refundable fee in favour of 'Nagaland Medical Council' (in case of late fee) Description of Qualijication I hereby submit a Bank Draft No ..................... Dated ................. Prepared from (Bank) ...................... for Rs .......................................... Being the late fee as non-refundable fee in favour of 'Nagaland Medical Council' Name of the School/ College!
Medical Institution examinaton Name of the BoardlLTniversityficensing Body passing Year of completion of Internship in any other case year of DECLARATION I solemnly affirm and declare that the particulars furnished above by me are true to the best of my knowledge and belief and I undertake to abide by the code ofconduct &Ethics ofNagaland Medical Council and IndianMedical Council and by the Rules ofNagaland Medical Council Date: Signature of the Applicant (For office use only) Received the above documents in on&.
Signature of registered person .............
Name ......................................................
Date ........................................................
FORM 4 FORM FOR GENERAL NOTICE General Notice is hereby given to all Registered Practitioners included in the State Register ofnagaland Medical Council under the Nagaland Medical Council Act, 201 4 whosevalidation of Registration i.e. 5 years have been completed, they have make an application to theRegistrar for continuance of their name inthe said Register as provided in Rule ofNagaland Medical Council Rules, 2014.
Individual notices along with the prescribed fiom of application are being sent under Certificate of posting to evety suchregistered Practitioner to the address in the said Register. An application in Form-2 for continuation of the name in the Register should be rehuned to the undersigned duly completed within 45 days of the issue ofthe notice. Any Registered Practitioner not receiving the form by post may obtain it fiom the Register.
Date:
Yours faithfdly Registrar, Nagaland Medical Council, Nagaland FORM - 5 Notice for continuation of Name of the Register To, Dr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sub: Individual Notice for continuation of name in theNagaland Medical Council Register Sir, Notice is hereby given to you calling upon to return the enclosed application form (FormNo -2) duly filled in by you to the Registrar within 45 (forty five days) for continuation of your name in the State ofNagaland Medical Council.
Yours fa* Registrar, Nagaland Medical Council, Nagaland FORM - 6 APPLICATION FOR REGISTRATION OF ADDITIONAL Q U ~ r n C A T I O N Receipt no.. ..........
Date. ..................
(for office use) passport Size photograph attested The Registrar, Nagaland Medical Council Sub: Registration of additional quaMcation Sir, I am aregistered practitioner ofNagaland Medical Council and my Registration No is ........................................................................................... I have acquired an additional qualification in modem system of medicine and desire to register the same.
My particulars are as under Name of the Applicant (block letters) Father's /Husband's Name Mother's Name Gender Dater of Birth(date month, year) Nationality Category (General IAPST) Address a. Residential Address b. Permanent Address c. ProfessionalAddress 9 TelephoneNo.NobileNo./Fax. No./Email ID lo. Details of QuaUications I hereby submit aBank Draft .................................. No ........................................... Dated. Obtained from (Bank) .............................................. for Rs 5001- (Rupees Five Hundred) nonrefundable fee in favour ofNagaland Medical Council.
DECLARATION Year of obtammg the quaWication I solemnly affirm and declare that the particulars furnished by me are true to the best of my knowledge and belief and I undertake to abide by the code of conduct& Ethics of Nagaland Medical Council and IndianMedical Council and by the Rules of Nagaland Medical Council.
Name of the University/ Licensing body Date Signature of the Applicant Name of the College1 Medical of Institution Sl No.
Description of QuaWCation Note:
1. Copies ofrelevant additional qualificationmay be submitted, withthe application along withorigds, which would be returned after verification.
2. Only post Graduate qualiication(s) recognized by the Medical Council of India would be enteredin the Register.
3. Entries of additional qualification(s) would be entered only for those persons who uossess areeisterable basic medical aualiicationas included in the schedule to the indian ~edTcal council ~ c t 1956. A
4. The certificate of Registration withNagaland Medical Council shall be required to be submitted, in oriynal, with this application.
5. Two recent passport size photographs with name and signature at the backside.
6 . Bank DrafI for Rs. 10001- (Rupees One Thousand) in favour of Nagaland Medical Council (nonrefundable) (for ofice use) Received the above documents i n o r i g d ................ Signature of registered person Name ...............................................
Date .................................................
FORM - 7 APPLICATION OF RESTORATION OFNAME IN THE REGISTER ........................ Receipt No..
Date .................................
(For office use only) To, The Registrar, Nagaland Medical Council, photogmph attested Sub: Restoration of name in the Register.
Sir.
1. I , .............................................. the undersigned ...............................................
....................................... ( 1 name and address) holding qualification of ........................................................ do solemnly declare that the following are *facts of my case onwhich I seek restoration of my name in the Register.
2. My name was duly registered in the State Register of ...............................
.................................. Having registration number .................................... (Name of the State) ....................................................... D a d ...................................
3. My name was duly registered inthe State Register ofNagaland Medical Council on ................................................ Having registration number .........................................................................................................................
4. At an enquiry on the ................................ Day of ................................. : by the Council/Board/Committee of .......................................... my name was directed to be removed from the State Register and the offence(s) for which the Council/ BoardICommittee of ............................................ directedremoval of my name waslwere.. ..............................................................................................
5. Since the removal of my name from the Register, I have been residing at ................................................................................................ And my ........................................................................................ occupation has been
6. It is my request that my name be restored in the Register of ....................
............................................................................................................... State.
7. The grounds for the present application are:
0 CW
8. The prescribed fee of Rs 10001- (Rupees One Thousand) deposited by Bank drafi No. ................................... Dated.. ................................. In favour ofArunachal Pradesh Medical Council
9. Irequest that orders may be passed for restoration ofmy name in the State Register of .......................................... (State)
10. I submit three recent passport size photographs.
11. I submit Nagaland Medical Council Registration Certijicate in on@.
Declared at ...........................
Before.. ...............................
Signature (for office use only) Received the above documents in o r i d .
............... Signature of registered person Name.. .............................................
Date ................................................
*(Instructional): All facts and the grounds on which the application is made should be clearly and concisely stated. Use separate sheets if necessary) APPLICATION FOR PROVISIONALREGISTRATION .................... Receipt No..
Date. .............................
(For office use) To, The Registrar, Nagaland Medical Council.
Sub: provisional Registration.
photogmph attested Sir, I hereby requestthat my name and other particulars mentioned below may be entered in the State Provisional Register of Nagaland Medical Council as required under section of the Nagaland Medical Council Act 2014.
Name of theApplication(b1ock letters) Father's 1 Husband's Name Mother's Name Gender Date of Birth (date, month, year) Nationality Category (General /APST) Address a. Residential Address b. Permanent Address c. Professional Address Telephone No./MobileNo./Fax No./Email ID Details of Qdiication a) General Decree:
b) Medical Degree:
S1.
No 1 1. Name of the Institution where applicant has been Selected for practical training (whether the Hospital Or Institution) where such training is to be undertaken is recognized by the Medical Council of India Description of QuaMcation S1 No.
12. Name of the Medical College attended ........................................... I hereby submit a Bank Draft No Dated .................................. obtained fiom (l3ank) .......................................... for Rs 5001- (Rupees Five Hundred) as non refundable fee in favour of Nagaland Medical Council.
Name of the SchooV College Roll No/ Regidtation No.
Name of the Boardl University Name of the Medical College 1 Institution Year of QuaMcation Name of the University/ Licensing Authority Year of passing DECLARATION I solemnly a f f i and declare that the particulars furnished above by me are true to the best of my knowledge and belief and Iundertake to abide by the code of conduct & Ethics ofNagalandMedical Council and by the Rules ofNagaland Medical Council.
Date:
Signature of the Applicant Note:
1. Application to be submitted at the office of the NagalandMedical Council along with three recent passport size photographs.
2 . Provisional degreeldiploma or provisional certificate ofhaving passed the hfBBS examhation issued by the Dean of the CollegeNniversity in original along with relevant copies be f o m d e d with this application. The o r i g d will be returned with the provisional certificate of registration.
3. Certificate of date of birth
4. Bank Draft for Rs 5001- (Rupees Five Hundred) in favour of 'Nagaland Medical Council'(non refundable) (For off~ce use) Received the above documents in original ........................ Signature of registered person Name.. ......................................................
Date.. .......................................................
FORM - 9 FORM FOR CERTIFICATE OF PROVISIONAL REGISTRATION passport photograph attested CERTIFICATE OF PROVISIONAL REGISTRATION This is certifj that .................................................. ..(who has signed in the box son/ daughter of SMSmti.. ....................................... havingpassed the final ................................................ MBBS - examination (Date) from .............................................. (Medical College) affiliated to the University of.. ........................ has been given Provisional Registration under theNagaland Medical Council Act, 2014, for the purpose of practical training (Internship1 .............................. .) in ......................
In witness whereof, the seal of theNagaland Medical Council,Nagaland and the signature of the Registm are herewith e e d .
Subject to the provisions of the said Act, this certificate is valid up to.. ............ orthe completion of Internship, whichever is later.
This holder shall be entitled to practice medicine in the approved institution for the purpose of such training and for no other purpose.
Date. .................................
Signature of Registrar With seal *Institution 1 hospital N.B: This certificate is to be surrendered to the Council at the time of Find Registration.
Appendix - B FORMAT FOR PROVISIONALREGISTER OF MEDICAL PRACTITIONERS SI No 1 2 Name Telephone No1 Fax No./€-mail ID 11 Mother's Name 3 Qualification Hospital1 Institution selected for Practical training (Internship) 21 Fathers Name 1 Husbands Name 4 General Degree Gender 5 Date of Birth (ddlmmlyy) 6 Description of Qualification 12 Medical Degree Name of Medical College attended 22 Description ofQualification 16 Nationality 7 Institution 13 Initial of Registrar 23 Medical College1 Institution 17 Remarks 24 Categwy (GenerallAPST) 8 Boardl University 14 Year of Qualificaton 15 Roll No./ Regis- W o n 18 Address Residential Address 9 Permanent Address 10 Board1 University Licensing Body 19 Year of Qualification 20 Form - 10 Nomination Paper (To be fffled by the Candidate) Bank Draft No .......................... Date ........................
Amount .....................................................................
passport photogmph attested I am registered practitioner of the Nagaland Medical under Registration No.. ................... and hereby offer my candidature for election as Member of Nagaland Medical College, I further declare that I shall work for Nagaland Medical Council Selected.
1. Name of the Candidate (in block letter) (As it appears in the Nagaland)
2. Father's Name
3. Sex
4. Age
5. Present Address
6. Postal Address of the Candidate Date.
Signature of the candidate .................................................. - ........................................................
(To be filled by the Proposer) I hereby propose Dr ................................. as a candidate for the forthcoming election to the Nagaland Medical Council.
1. Name of the Proposer (in block letters) :
(As in the Nagaland)
2. Postal Address of the proposer:
3. Proposer's RegistrationNo. in the Nagaland Medical Council:
Date. ........................
Signature of the Proposer.
(To be filled by the Seconder) I second above nomination
1. Name of the Seconder (iblock letters):
(As in appears in the Nagaland Medical Council Registration Certificate)
2. Postal Address of the Seconder:
3. Seconder's RegistrationNo. in the Nagaland Medical Council:
Date. ............................
Signature of the Seconder ........................................................................................................ .- (To be fffled by the Returning Officer) . . ...................................................................... Serial No. of normnation paper ...................................... This nomination paper was delivered to me at my office on Date. ................................... (Returning Officer) Decision ofRetuming Officer (Returning Officer) Date.. ......................................
Instruction
(i) Nomination papers which are not received by the Returning Officer before ........................ ......................................... (hour) On the Shall be rejected.
(ii) The names of the proposer and seconder as they appear in the State Register of Nwaland Medical Council and their registered number shall be clearly written - - below theirrespective signature.
(For office use only) Received the nomination paper Signature of Returning Officer .....................
Name ...............................................................
................................................................. Date FORM - 11 Letter of Intimation to the Voters Election to the Nagaland Medical Council
1. The persons, whose name are printed on the voting paper sent herewith, have been duly nominated as candidates for the election to the Nagaland Medical Council. If you desire to vote at the election, I request that you shall-
(a) Fill up and sign the declaration paper.;
(b) Mark your votelvotes in the columnprovided inthe votingpaper as directed on the votingpaper;
(c) Enclose the voting paper in the smaller cover (hereafter called the voting paper cover) and stick it up; and
(d) Enclose the smaller cover and the declaration paper in outer envelope addressed to me and return the same to me by post or deliver it in person in my office so as to reachme not later than2:OO P.M. onthe ................. of year ....................
2. The voting paper cover shall rejected if-
(a) The outer envelop enclosing the voting a v e r is not sent by post or delivered in person in my office or is received later than the day and hour fixed for closing ofthe poll; or
(b) The outer envelope contains no declaration paper \outside the voting paper cover; or
(c) The declarationis not signed by the elector, or
(d) The declaration is not signed by the elector; or
(e) The voting paper is places outside the voting paper cover; or (0 More than one declaration or voting cover have been enclosed in one and the same outer envelop.
3. A voting paper shall be invalid, if;
(a) It does bear the Returning Officer's initials or facsimile signature; or
(b) The voter signs his name, or writes any word or makes any mark by which it becomes recognizable as his voting paper;or
(c) No vote is recorded thereon; or
(d) The number of votes recorded thereon exceeds the number of seats to be med; or
(e) There is uncertainty of the vote exercised.
4. Ifavoter inadvertently spoils avoting paper, he can relwn it, not later than seven days before the date appointed for the poll, to the Returning Officer who shall, if satisfied of such inadvertence, issue to him another voting paper.
5. The d y and counting of votes shall begin on ................ (date) at ............
(hour) at ......................... (place) 6 . No person shall be present at the time of scrutiny and counting of votes except the Returning Officer, such other persons as he may appoint to assist him and the candidate or their duly certifiedrepresentative(s) under clause of the Nagaland Medical Council Rules 2014.
FORM - 12 Voter's Declaration Paper Election of the Nagaland Medical Council Election of theNagalandMedical Council under section ofNagaland Medical CouncilAct, 2014.
Serial No ......................................
Elector's Name ...................................................................................
Number of State Register ofAllopath ..................................................
ELECTOR'S DECLARATION I .................................... (Name in fdl and Designationif any) declare that I am electorfor the election toNagaland Medical Council by the electorate under section and that I have signed no other voting paper at this election.
Station. ...................................
State.. .....................................
........................... Signature..
Voting Paper Election to the Nagaland Medical Council ............................ Serial No..
.............................................. (inwords*member(s) islare to be electedunder section Of theNagaland Medical Council Act, 20 14) Retuning Officer Seal and Signature INSTRUCTIONS
1. Each elector has number of votes as the number of members to be elected.
2. Each elector shall give only one vote at any candidate.
3. HeIShe shall vote by placingthe Mark 'X' opposite the name of the candidate I candidates to whom he wishes to vote.
4. Thevotingpapershallbeinvalidif-
(a) It does not bear the Returning Officer's initials or facsimile signature; or
(b) The voter signs his name or writes any word or makes any mark on it, by which it becomes recognizable as his voting paper; or
(c) No vote is recorded thereon; or
(d) The number of votes recorded thereon exceeds the number of seats to be till&, or
(e) There is uncertainity of thevote exercised.
*Number in words.
DECLARATION OF RESULT OF MEMBER, PRESIDENT & VICE- PRESIDENT I hereby declare that Dr. ........................................ has been duly elected under sub-section of theNagaland Medical Council Act, 2014( ) As the Membermresident 1 Vice-President of The Nagaland Medical Council for a period of ...................... w.e.f .....................................
Place:
Date:
Returning Officer.
FORM - 15 ELECTION OF PRESIDENT /VICEPRESIDENT Signature of Returning Officer INSTRUCTIONS
1. Each electorhas only one vote.
2. The elector should place the Mark (x) clearly opposite the name of the candidate of his choice.
THE NAGALAND MEDICALCOUNCILACT, 2014 APPENDIX- C Nagaland Medical Council Declaration : Pledge At the time of registdon, eachapplicant shall be given a copy of the following declaration by the Registration and the applicant shall read and agree to abide by the same and atfirmed by the signature in of Registrar.
1. I solemnly pledge myself to consecrate my life to serve of humanity.
2. Even under threat, I will not use my medical knowledge contrary to the laws of Humanity.
3. Iwillmaintainthe utmost respect for hurnanliie from time of conception.
4. Iwill not permit consideration of religion, nationality, race, party politics or social standing to intervene betweenmy duty and my patient.
5. I will practice my profession with conscience and dignity.
6. The health of my patient will be my first consideration.
7. I will resuect the secrets which are confined in me.
A
8. I will give to my teachers the respect and gratitude which is their due.
9. I will maintain by all means in my power, the honour and noble tradition of medical profession
10. I will treat my colleagues with all respect and dignity.
11. 1 shall abide by the code of medical ethics and enunciated in the Indian Medical Council (Professional Conduct, Etiquette and Ethics) RegulationRules.
12. I shall abide by the Rules of Nagaland Medical Council, 2014 and shall uphold the motto ofNagaland Medical Counci1i.e. Service, Knowledge and Ethics in its correct prospective as enunciated inRule of Nagaland Medical Council Rules.
I make these promises solemnly, freely and upon honour.
Signature.. ......................
Name.. ...........................
Place.. .................................
Date. ..................................
Address.. ..............................
...........................................
...........................................
Pay Structure of Manpower for State Medical Council:
SI No 1 2 Nameof Des~gnabon Running Pay Band 3 22,320 18,600 15,810 7,680 5,680 4,750 Pay Band Grade Pay 4 7,600 6,600 5,700 2,600 1,900 1,300 N P A 5 7,480 6,300 - - - - 15600-39100 15600-39100 15600-39100 5200-20200 5200-20200 4400-17200 3 4 5 6 Dearness Allowance 6 26,928 22,680 15,487 7,402 5,458 4,356 Registrar UDA (D~stnct) LDA (District) OlPeon House Rent Allowance 7 3,740 3,740 2,151 1,028 758 605 P.P Allw 8 - - - - - - Nur.
cal Allowance 8 - Medl Total 9 400 400 400 400 400 400 Gross 10 68,468 57,730 39,548 19,110 14,196 11,411 P /Tax 16 -- 208 208 208 208 208 180 Tdal Deduction Amount 18 - 208 208 208 208 208 180 Net Payable 19 68,260 57,522 39,340 18,902 13,988 11,231 Acqntance 21 -