CREMATION ACT 1929 Cremation Regulations 1954 Form 7 (Reg. 12) Certificate of Medical Practitioner Certificate to be completed by doctor who attended deceased prior to death Add additional pages if more space is required. Attach copies of all relevant laboratory reports, results, certificates etc. Deceased Name: Address: Date of birth: / / Age: Marital status: Male Female Unspecified Occupation: Doctor Name: Address: Are you a spouse, de facto partner or relative of the deceased? No Yes. Nature of relationship: As far as you are aware, do you have a pecuniary interest in the deceased’s estate or any other pecuniary ...
Form MCI-03 BOARD OF GOVERNORS IN SUPERSESSION OF MEDICAL COUNCIL OF INDIA Pocket - 14, Sector - 8, Phase-I, Dwarka, New Delhi - 110 077 Phone : 011-25367033,25367035, 25367036, Email : mci@bol.net.in , Website : http://www.mciindia.org APPLICATION FORM FOR OBTAINING A CERTIFICATE OF GOOD STANDING (Please read the instructions carefully as given in Appendix-I before filling the form.) 1. NAME OF THE DOCTOR (AS GIVEN IN THE INDIAN MEDICAL REGISTER) 2. FATHER’S / HUSBAND’S NAME (AS GIVEN IN THE STATE MEDICAL REGISTER) 3. PRESENT ADDRESS WITH CONTACT DETAILS: 4. ADDRESS WITH CONTACT DETAILS ...
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