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

 

 

-

 

 

-

 

 

 

 

PB.

S

V

C

-

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

I

N

-

 

 

 

 

 

 

9.   Residential Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P

I

N

-

 

 

 

 

 

 

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.

 

 


         

 

 

 

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