Registration
 
MEDICAL PRACTITIONERS AND DENTISTS ACT, 1987
(No. 17 of 1987)
MEDICAL PRACTITIONERS AND DENTISTS (REGISTRATION AND MISCELLANEOUS FEES) REGULATIONS, 1988
 
Form 1
 
APLICATION FOR REGISTRATION
 
TO: THE REGISTRAR,
MEDICAL COUNCIL OF MALAWI, P O BOX 30787, CAPITAL CITY LILONGWE 3
 
1. Full names of the applicant: Dr./Mr./Mrs. /Miss
2. Date of Birth
3. Marital status Single Married Widowed
    Divorced Other
4. Address of the applicant
   
   
     
5. Nationality of the applicant
6. Profession in respect of which the application for registration is made
7. Application for registration on the register of
     
I, the above-named applicant, hereby apply for registration on the afore-mentioned register and submit herewith:-
  *(a) the prescribed application fee of K
  *(b) the prescribed registration fee of K
  *(C) the following documents in support of my application
     
  Date Signature of Applicant
         
*NOTE
1. Fee must be payable only by cheque or postal order made in favour of the Medical Council of Malawi.
2. Application fee is not refundable, but registration fee shall be refundable where application for registration has not been accepted.