Performas
APPLICATION FOR CONTINUATION OF NAME
IN THE PUNJAB STATE VETERINARY PRACTITIONER’S REGISTER
Dated___________
The Registrar, Punjab State Veterinary Council,
Room No. 306, 3rd Floor, Livestock Complex,
Sector-68, SAS Nagar (Mohali)-160062.
Subject:- Continuation of name in the Punjab State Veterinary
Practitioner’s Register.
Sir,
I request that as a registered veterinary practitioner my
name may be continued in the register maintained by the Punjab State
Veterinary Council. My particulars are submitted as under:-
1)
Full Name (in block letters)
2)
Registration No. Pb.SVC-
3)
Date upto which it is to be renewed: For Further 05 years.
4)
Qualification(s) possessed at the time of initial registration:
5)
Additional Qualification to be entered, if any:
(i) MVSc/________________________(Univ.)/______________ (Year of
Passing)
(ii) Ph.D./_________________________(Univ.)/______________(Year of
Passing)
6)
Service/Faculty/Practice/ Retd.
7)
Professional Address, if any:
8)
Have you attended Refresher Training/s?, If yes, give Details (N.B:
.Attending Refresher training(s)/Continuing Education Programme(s) etc
upto the age of superannuation, is mandatory for renewal of
registration as per decision of the Punjab State Veterinary
Council)
9)
Permanent address for correspondence:
Yours faithfully,
Signatures_________________
Full Name
(in block letters) _______________
Address:______________________________
___________________ Pin _______________
Ph/Mobile
No., if any_____________________
Email:________________________________
Blood
Group:__________________________
UNDERTAKING
I, Dr. ________________________ son/Daughter
of Shri __________________ resident of
_______________________________________ do hereby solemnly affirm and
declare as under :
1.
that I am registered with Punjab State Veterinary Council and my
registration number is Pb.SVC _______. The same is valid upto
31.03.2018.
2.
that my registration was for a period of five years which is to be
expired/expired on 01.04.2018.
3.
that I want to get my registration renewed/name restored for
retention the same in the Punjab State Veterinary Register.
4.
that I have not been convicted for any offence involving moral
turpitude and punishable with imprisonment or have not been guilty for
any infamous conduct in any professional respect or have not violated
the standards of professional conduct and etiquette or the Code of
Ethics so far.
5.
that my registration may be renewed/name may be restored as per
provisions in the Indian Veterinary Council Act, 1984.
Deponent
VERIFICATION
Verified that the above statement of mine is
true and correct to the best of my knowledge and belief and nothing
has been concealed therein.
Deponent
(Please put your signatures only on Deponent only and not required to
be got attested from Public Notary etc.)
Document
to be attached:
1)
Registration/renewal registration certificate issued by the Council (in
Original);
2)
Fee of as under, bank draft only in favour of Registrar, Punjab
State Veterinary Council, payable at Chandigarh:
(i)
Rs. 1,015/-
(before 01st April, 2018, if due in 2018)
(ii)
Rs.1515/- (On or After 01st April, 2018, if due in 2018)
3)
Two recent passport size photographs duly attested from their
back side.
4)
Attested copy
of additional qualification, if any (MVSc, Ph.D etc), wants to be
entered and add Rs. 15/-per registration of additional qualification
in Rs. 1,015/-.
Form
IX Blood Group __________
( See
Rule 53 ( 1)
APPLICATION FORM FOR FULL REGISTRATION WITH THE PUNJAB COUNCIL
The
Registrar,
Punjab State Veterinary
Council,
Photo
SCO No. 50-51, 3rd Floor, Bassi
Building (Near Canadian Embassy),
Sector 17-A, Chandigarh-160017.
Sub:-
Full Registration.
Sir,
I humbly request that
my name be registered under the Indian Veterinary Council Act, 1984
(Central Act 52 of 1984) with the Punjab State Veterinary Council+ and
that I may be issued a Certificate of registration in this behalf. My
particulars are given below: -
1. Name (in block letters)
2. Father’s Name
3. Mother’s Name
4. Date of
Birth Provisional
Registration with the Council
5. Male/Female
6. Nationality
7. Permanent Address
(Telephone/Mobile No. & E-mail Address, if any)
8. Residential
Address
9. Professional
Address
10. Qualification (
Both Veterinary and other Academic Qualification) Starting from
highest qualification to Martic :
Qualification Year of Passing
College/Institution/University
i)
ii)
iii)
iv)
11.
Present Occupation A. Government
Service B. Private Practice.
C.
Retired C. Doing MVSc
12.
Have you ever been convicted for breach of Law
Yes/No
My degree/diploma certificate(s) is
and Matriculation certificate are enclosed in original along with
their attested copies herewith. The original certificates may be
returned when not required.
The prescribed fee of Rs.
__________ in cash/through bank draft No. ________ dated_____________
in the name of Registrar, Punjab State Veterinary Council payable at
Chandigarh has been deposited with your office vide Receipt No.
__________, Book No. __________ dated __________.
Dated:
Signatures of the Applicant.
-2-
Undertaking
I,___________________________________________________________
son/daughter of________________________________________ hereby declare
that in the event of my residential/permanent address and other
information given by me in the application form for registration
turns to be incorrect/false, I undertake to be liable for any action
under any Law of the Land.
I further declare that I am neither already registered
with any other Council under the IVC Act, 1984 nor my name has ever
been removed from the Veterinary Practitioner’s Register of any
Veterinary Council (State or Veterinary Council of India) at any point
of time.
Signature of the Applicant.
Name________________________
Father’s Name_______________
Address _____________________
Documents to be submitted alongwith the application
1)
Attested Photocopy of BVSc&AH and higher qualification viz: MVSc,
Ph.D. etc
2)
Attested photocopy of Matriculation Certificate for date of birth.
3)
Two
pass-post size photographs duly attested from their backside along
with any of the photo I.D. Proof like copy of driving licence, PAN
Card, Aadhaar Card etc.
4)
Residence proof (for residing in the State of Punjab).
5)
Rs.1,025/- through a bank draft in favour of Registrar, Punjab State
Veterinary Council payable at Chandigarh for fee and postage & office
maintenance charges.
6)
Rs.1,000/- through a separate bank draft in favour of Registrar,
Punjab State Veterinary Council payable at Chandigarh for Life
membership fees for Journal, “Punjab Veterinary Journal”.
Veterinarians’ Oath
|
Being admitted to the profession of
veterinary medicine, I solemnly
swear to use my scientific
knowledge
and skill for the benefit of
society
through the protection of animal
health, the relief of animal
suffering.
The conservation of livestock
resources,
the promotion of public health,
and
the advertisement of medical
knowledge.
I will practise my profession
conscientiously, with dignity
and in
keeping with the principles of
veterinary medical ethics.
I accept as a lifelong
obligation the
continual improvement of my
professional knowledge and
competence.
Signature ____________________
Full Address__________________
_____________________________
|
|
Principles of
Veterinary Medical Ethics
PREAMBLE:-
The honour and dignity of our profession lies in our obedience to a
just and reasonable code of ethics set forth as a guide to the
members. The purpose of this code is far-reaching because exemplary
professional conduct not only upholds honour and dignity, but also
enlarges our sphere of usefulness, exalts our social standards and
promotes the science so cultivate. Briefly stated, our code of ethics
is the foundation of our individual and collective efforts. It is
based on the Golden Rule.
SECTION –I
The
principal objectives of the Veterinary profession are to render
service to society, to conserve our livestock resources and to relieve
suffering of animals. A Veterinarian should conduct himself in
relation to the public, his colleagues and their patients and the
allied professions, so as to merit their full confidence and respect.
SECTION –II
A
veterinarian may choose whom he will serve. Once he has undertaken
care of patient he must not neglect him. In an emergency, however, he
should render service to the best of his ability. He should not
solicit clients.
SECTION-III
A
veterinarian should not employ his professional
knowledge
and attainments nor dispose of his services under terms and
conditions, which tend to interfere with the free exercise of his
judgement and skill or lend to cause a deterioration of the quality of
veterinary service.
SECTION –IV
A
veterinarian should strive continually to improve voluntary knowledge
and skill, making available to his colleagues the benefit of his
professional attainments, and seeking, through consultation,
assistance of others when it appears that the quality of veterinary
service may be enhanced thereby.
SECTION V
The
veterinary profession should safeguard the public and itself against
veterinarians deficient in moral character or professional competence.
Veterinarians should observe all laws, uphold the honor and dignity of
the profession and accept its self-imposed discipline.
SECTION VI
The
responsibilities of the veterinary profession extend not only to the
patient but also to society. The health of the community as well as
the patient deserves his interest and participation in nonprofessional
activities and organizations.
Signatures
(as
adopted by Punjab Veterinary Council vide item No.13.3 dated
20.06.1989)
AFFIDAVIT
I, Dr. ___________________ son/daughter of
Shri __________________ resident of __________________________ do
hereby solemnly affirm and declare as under :
1.
that I am a Veterinary Graduate from _____________________(Name of the
University)
2.
that I want to get myself registered with the Punjab State Veterinary
Council under the Indian Veterinary Council Act, 1984.
3.
That I have not been convicted for any offence involving moral
turpitude and punishable with imprisonment or have not been guilty for
any infamous conduct in any professional respect of have not violated
the standards of professional conduct and etiquette or the code of
ethics.
4.
that my full registration under the said Act may, therefore, be done
and issued a Registration Certificate.
Deponent
VERIFICATION
Verified that the above statement of mine is
true and correct to the best of my knowledge and belief and nothing
has been concealed therein.
Deponent
(Please put your signatures on the Deponent and not required to be
attested from any Notary Public etc.)
1)
Rs.1,025/- through a bank draft in favour of Registrar, Punjab
State Veterinary Council payable at Chandigarh
2)
Rs.1,000/- through a separate bank draft in favour of
Registrar, Punjab State Veterinary Council payable at Chandigarh
The
Registrar,
Punjab State Veterinary Council,
SCO
No.50-51, 3rd Floor, Bassi Building (Near Canadian
Embassy),
Sector 17, Chandigarh-160017.
Subject: Issuance of Good Professional Standing Certificate.
Sir,
I
am a Registered Veterinary Practitioner of the Council Now, I want to
get myself registered with the_______________________________________
(Authority) for which a Good Professional Standing Certificate is
required from a regulatory body of the profession. I, therefore,
request you to kindly issue me the same and oblige. My particulars and
latest professional information is as under:-
1.
Name
2.
Father’s Name
3.
Date of Birth
4.
Professional Qualification
5.
Latest Professional information viz: service, practice etc.
I, however, undertake that that I have never been convicted
for any offence involving moral turpitude and punishable with
imprisonment or have not been guilty for any infamous conduct in any
professional respect or have not violated the standards of
professional conduct and etiquette or the code of ethics.
I further authorize to _________//____________, the
bearer of this letter to deposit fee etc for the purpose and collect
the said certificate on my behalf, please.
Thanking you,
Yours faithfully,
Signatures_________________
. (Full Name
Dr. ______________)
Regn.No.Pb.SVC-______.
Address ___________________
__________________________
Dated:
1) All columns must be filled-up and the particulars of
application must be verified from a Veterinary Practitioner who is
already registered with the Council.
2) In case presently residing in India, Fee of Rs.5,000/- only
through a bank draft only in the name of Registrar, Punjab State
Veterinary Council payable at Chandigarh be deposited. For additional
copy, Rs.100/- per copy may be included in Rs.5,000/- .
3) In case presently residing abroad in any Country, Fee of US
200 Dollars or at par in Indian Rupees be deposited by Bank Draft
only.
APPLICATION FORM FOR PROVISIONAL REGISTRATION WITH THE PUNJAB COUNCIL
UNDER VCI-MS VETY EDU. (BVSc&AH) REGULATIONS, 2008
The
Registrar,
Punjab State Veterinary
Council,
Photo
SCO No. 50-51, 3rd Floor, Bassi
Building (Near Canadian Embassy),
Sector 17-A, Chandigarh-160017.
Prov. No. P- _________Dated
________
Sub:-
Provisional Registration for Internship.
Sir,
I humbly request that
my name be provisional registered with the Punjab State Veterinary
Council under VCI-MS Vety Edu. (BVSc&AH) Regulations, 2008 framed
under Indian Veterinary Council Act, 1984 (Central Act 52 of 1984) and
that I may be issued a Certificate of Provisional Registration in
this behalf. My particulars are given below: -
1. Name (in block letters)
2. Father’s Name
3. Mother’s Name
4. Date of
Birth 5.
Male/Female
6.
Nationality 7. University Admission
Number
8. Permanent Address
9. Residential
Address
10. Telephone/Mobile
No.
11. E-mail Address
12. Qualification (
Both Veterinary and other Academic Qualification) Starting from
highest qualification to Matriculation :
Qualification Year of Passing
College/Institution/University
i)
ii)
iii)
iv)
13.
Have you ever been convicted for breach of Law
Yes/No
Attested copies of Course
Completion Certificate and Matriculation Certificate are enclosed s
herewith.
The prescribed fee of Rs.
__________ in cash/through bank draft No. ________ dated_____________
in the name of Registrar, Punjab State Veterinary Council payable at
Chandigarh has been deposited with your office vide Receipt No.
__________, Book No. __________ dated __________.
Dated:
Signatures of the Applicant.
-2-
Undertaking
I,___________________________________________________________
son/daughter of________________________________________ hereby declare
that in the event of my residential/permanent address and other
information given by me in the application form for registration
turns to be incorrect/false, I undertake to be liable for any action
under any Law of the Land.
I further declare that I am neither already registered
with any other Council under the IVC Act, 1984 nor my name has ever
been removed from the Veterinary Practitioner’s Register of any
Veterinary Council (State or Veterinary Council of India) at any point
of time.
Signature of the Applicant.
Name________________________
Father’s Name_______________
Address _____________________
Veterinarians’ Oath
|
Being admitted to
the profession of
veterinary medicine, I solemnly
swear to use my scientific knowledge
and skill for the benefit of society
through the protection of animal
health, the relief of animal suffering.
The conservation of livestock resources,
the promotion of public health, and
the advertisement of medical knowledge.
I will practise my profession
conscientiously, with dignity and in
keeping with the principles of
veterinary medical ethics.
I accept as a lifelong obligation the
continual improvement of my
professional knowledge and competence.
Signature ____________________
Full Address__________________
_____________________________
|
|
Principles of
Veterinary Medical Ethics
PREAMBLE:-
The honour and dignity of our profession lies in our obedience to a
just and reasonable code of ethics set forth as a guide to the
members. The purpose of this code is far-reaching because exemplary
professional conduct not only upholds honour and dignity, but also
enlarges our sphere of usefulness, exalts our social standards and
promotes the science so cultivate. Briefly stated, our code of ethics
is the foundation of our individual and collective efforts. It is
based on the Golden Rule.
SECTION –I
The
principal objectives of the Veterinary profession are to render
service to society, to conserve our livestock resources and to relieve
suffering of animals. A Veterinarian should conduct himself in
relation to the public, his colleagues and their patients and the
allied professions, so as to merit their full confidence and respect.
SECTION –II
A
veterinarian may choose whom he will serve. Once he has undertaken
care of patient he must not neglect him. In an emergency, however, he
should render service to the best of his ability. He should not
solicit clients.
SECTION-III
A
veterinarian should not employ his professional knowledge and
attainments nor dispose of his services under terms and conditions,
which tend to interfere with the free exercise of his judgement and
skill or lend to cause a deterioration of the quality of veterinary
service.
SECTION –IV
A
veterinarian should strive continually to improve voluntary knowledge
and skill, making available to his colleagues the benefit of his
professional attainments, and seeking, through consultation,
assistance of others when it appears that the quality of veterinary
service may be enhanced thereby.
SECTION V
The
veterinary profession should safeguard the public and itself against
veterinarians deficient in moral character or professional competence.
Veterinarians should observe all laws, uphold the honor and dignity of
the profession and accept its self-imposed discipline.
SECTION VI
The
responsibilities of the veterinary profession extend not only to the
patient but also to society. The health of the community as well as
the patient deserves his interest and participation in nonprofessional
activities and organizations.
Signatures
(as
adopted by Punjab Veterinary Council vide item No.13.3 dated
20.06.1989)
APPLICATION FOR CONTINUATION OF NAME IN THE PUNJAB STATE VETERINARY
PRACTITIONER’S REGISTER
Dated___________
The Registrar, Punjab State Veterinary Council,
SCO 50-51, 3rd Floor, Bassi Building, Near Canadian
Embassy,
Sector 17-A, Chandigarh-160017.
Subject:- Continuation of name in the Punjab State Veterinary
Practitioner’s Register.
Sir,
I request that as a registered veterinary practitioner my
name may be continued in the register maintained by the Punjab State
Veterinary Council. My particulars are submitted as under:-
1)
Full Name (in block letters)
2)
Registration No. Pb.SVC-
3)
Date upto which it is to be renewed: For Further 05 years.
4)
Qualification(s) possessed at the time of initial registration:
5)
Additional Qualification to be entered, if any:
(i) MVSc/________________________(Univ.)/______________ (Year of
Passing)
(ii) Ph.D./_________________________(Univ.)/______________(Year of
Passing)
6)
Service/Faculty/Practice/ Retd.
7)
Professional Address, if any:
8)
Have you attended Refresher Training/s?, If yes, give Details (N.B:
.Attending Refresher training(s)/Continuing Education Programme(s) etc
upto the age of superannuation, is mandatory for renewal of
registration as per decision of the Punjab State Veterinary
Council)
9)
Permanent address for correspondence:
Yours faithfully,
Signatures_________________
Full Name
(in block letters) _______________
Address:______________________________
___________________ Pin _______________
Ph/Mobile
No., if any_____________________
Email:________________________________
Blood
Group:__________________________
UNDERTAKING
I, Dr. ________________________ son of Shri
__________________ resident of _______________________________________
do hereby solemnly affirm and declare as under :
1.
that I am registered with Punjab State Veterinary Council and my
registration number is Pb.SVC _______. The same is/was valid upto
___________.
2.
that my registration is/was for a period of five years which is to
expire/stands expired on ___________.
3.
that I want to get my registration renewed/name restored for
retention the same in the Punjab State Veterinary Register.
4.
that I have not been convicted for any offence involving moral
turpitude and punishable with imprisonment or have not been guilty for
any infamous conduct in any professional respect or have not violated
the standards of professional conduct and etiquette or the Code of
Ethics so far.
5.
that my registration may be renewed/name may be restored as per
provisions in the Indian Veterinary Council Act, 1984.
Deponent
VERIFICATION
Verified that the above statement of mine is
true and correct to the best of my knowledge and belief and nothing
has been concealed therein.
Deponent
(Please put your signatures only on Deponent only and not required to
be got attested from Public Notary etc.)
Document to be attached:
1)
Registration/renewal registration certificate issued by the Council (in
Original);
2)
Fee should be through bank draft in favour of Registrar, Punjab
State Veterinary Council, payable at Chandigarh
3)
Fee may be sent as under:-
Fee Rs. 1,015/- due in 2016 (Before 01st April 2016)
Fee Rs. 1,515/- due in 2016 (After 01st April 2016)
Fee Rs. 2,020/- due in 2015
Fee Rs. 2,520/- due in 2014
Fee Rs. 3,020/- due in 2013
Fee Rs. 3,520/- due in 2012
Fee Rs. 4,020/- due in 2011
4)
Two recent passport size photographs duly attested from their
back side.
5)
Attested copy
of additional qualification, if any (MVSc, Ph.D etc), wants to be
entered and add Rs. 15/-per registration of additional qualification.