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Pursuant to the Medical Act 1971, you are required to register with the Malaysian
Medical Council (MMC) to practice medicine in Malaysia. Hence, your application
should be submitted PRIOR to practice;
2.
3.
If you do not fulfill any of the criteria in paragraph 2(a), you are only eligible to apply
for Provisional Registration.
4.
5.
b.
c.
d.
A copy of both the Sarjana Kedokteran and Ijazah Kedokteran degrees (for
Indonesian graduates only)
e.
f.
g.
h.
i.
j.
k.
l.
o.
6.
7.
8.
If your printed names in any of the submitted documents differ, please submit a
Statutory Declaration;
9.
If the original documents are not in either Bahasa Malaysia or English, you need to
submit translated versions in either Bahasa Malaysia or English along with certified
copies of the document in its original language. Translated documents are only
acceptable if carried out by qualified translators or officers of appropriate embassy.
10.
You are advised to keep a copy of all the documents submitted for your future
reference.
11.
Pursuant to sections 19 and 24 of the Act, you are required to submit a copy of your
recent medical report and sick leaves if you:
2
a. suffer from any illness or physical condition which may affect your professional
duties; and/or
b. have any mental problem and/or have been admitted into a hospital for any
mental problem.
12.
13.
14.
15.
16.
ii.
Inform your employer to submit a letter stating the exact date you reported
for duty. This letter is necessary to effect the issuance of your Full
Registration Certificate and should be submitted within ONE month you
commence your practise. Pursuant to the directive by the Director General
of Health vide Surat Pekeliling KPK Bil. 2 Tahun 2006 : Pendaftaran
Pengamal Perubatan Selepas Tamat Menjalani Latihan Siswazah Di
Bawah Akta Perubatan 1971, if the submission is more than ONE month,
you need to provide a detailed explanation of the delay along with your
employers comments; and
iii.
b. If the gap is more than SIX months AFTER the approval date, besides informing
us within ONE month, you are also required to submit a current Letter of Good
Standing NOT LESS than one month before reporting
18.
19.
20.
Your certificate will be send directly to you by post and your employer will be
appropriately acknowledged. If you want to collect it personally, please state it clearly
in your application form. However, if you want someone to collect on your behalf, he
needs to produce a Letter of Authorization during collection.
21.
22.
FORM 9
(Regulation 22)
MEDICAL ACT 1971
(Section 14(1))
MEDICAL REGULATIONS 1974
APPLICATION FOR FULL REGISTRATION
1.
2.
3.
4.
Date *: ______/_______/_______
APPENDIX A FORM
CURRICULUM VITAE OF APPLICANT FOR FULL
REGISTRATION UNDER THE MEDICAL ACT 1971
(MALAYSIAN CITIZENS)
1.
NAME*:
(Print in block letters according to I/C or Passport)
(DD-MM-YY)
2.
DATE OF BIRTH:
4.
CITIZENSHIP:
6.
SEX:*
8.
ETHNIC:
10.
Male
3. NRIC*: NEW
& OLD:
MALAYSIA
__________ years.
5. AGE:*
Female
7. RELIGION:*
9. TELEPHONE: (R)*
(HP)*
*Email Address:
__________________
b. Occupation:
c. Citizenship:
11.
12.
Place
Place
Date/Period
Date: From: / / To: / / .
Period: ____ Years _____ Months.
Date: From: / / To: / / .
Period: ____ Years _____ Months.
Date: From: / / To: / / .
Period: ____ Years _____ Months.
Date: From: / / To: / / .
Period: ____ Years _____ Months.
Date/Period
Date: From: / / To: / / .
Period: ____ Years _____ Months.
Note: If you need more space, please use a separate sheet of paper. Please use the reference format
illustrated above.
13. POST-GRADUATE QUALIFICATION:
Awarding Body
Date of Award
13.1.
13.2.
Description of Degree
APPOINTMENT
PLACE
DATE / PERIOD
Date: From:
To:
/ /
Date: From:
To:
/ /
Date: From:
To:
/ /
Date: From:
To:
/ /
Date: From:
To:
/ /
b. Collect In Person
c. Somebody on my Behalf
Date*: ______/______/______
CHECKLIST:
The following documents need to be submitted by Malaysian Citizens
Completing Internship OUTSIDE Malaysia
1.
2.
3.
4.
5.
6.
a.
Sarjana Kedokteran
b.
Ijazah Kedokteran
b.
Curriculum vitae of the applicant with regards to the work experience only
(preferably type written) (13 copies)
7.
A certified true copies of the testimonials of the last three years working
experience.(1 copy)
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
a.
b.
Certified true copy of the medical report/sick leaves, if any (13 copies)
1.
2.
b.
c.
d.
Notary Public;
e.
f.
Justice of Peace.
*For Malaysian graduates from foreign medical universities that wish to
apply for registration with the MMC, documentations should be certified
by Malaysian government officers stationed in the respective foreign
countries.
2.2.
2.3.
b.
c.
d.
e.
f.
10
2.4.
3.
Signature of a Person
Name in Full
MMC Full Registration Number
Designation in Full
These details must be rubber-stamped.
A Complete Address
4.
If your printed names in any of the documents submitted differ, please submit a
Statutory Declaration.
5.
If the original documents are not in either Bahasa Malaysia or English, you need to
submit translated versions in either Bahasa Malaysia or English along with certified
copies of the document in its original language. Translated documents are only
acceptable if carried out by :
a. Malaysian certified court translators;
b. Official Malaysian government agencies;
c. Malaysian officers in the language faculty of public universities;
d. Malaysian officers of the appropriate embassies
6.
Any certification which does not conform to this Guideline will be considered invalid
and NOT accepted.
7.
Similarly, any document will be considered invalid and NOT accepted if:
8.
a.
b.
11