FORM "H"

[See Rule 7 (3)]

STATE COUNCIL OF HOMOEOPATHY MADHYA PRADESH

Provisional Certificate of Registration

Certified that Shri/Ku./Smt. ...........................................................................................................................
Son/daughter/wife of .....................................................................................................................................
Resident of ..................................................................District.......................................................................has been granted provisional registration under section 24 of the Madhya Pradesh Homoeopathy Council Adhiniyam 1976 or passing the .......................................................examinition. His/her registration number is Prov. No..................................dated....................................
as per Provisional Registration Register. This certificate shall be valid till the completion of his/her training period and/or the qualification is conferred upon him at a convocation held by the State Council of Homoeopathy or University.

Seal

Bhopal :

Dated :

By order and in the name of the Governor of Madhya Pradesh.
R.K. SWAL. Addl. Secy.