How to Apply for Issuance/Permission/Rejection of Registration Certificate to Ultra Sound Centers in Punjab
To apply for the issuance, permission, or rejection of a registration certificate for ultra sound centers in Punjab, follow these steps. This guide provides detailed information on how to fill out the application form, the required documents, and the submission process.
Step 1: Obtain the Application Form
You can download the application form from the official Punjab government website or access it directly here.
Step 2: Fill Out the Application Form
For Official Use Only Section
Application Number: (Leave this blank; it will be filled by the office)
Date of Application: (Leave this blank; it will be filled by the office)
Name of Block & Tehsil: (Leave this blank; it will be filled by the office)
Part 1: Personal Details
Details of Person Filling the Application Form
Self-Attested Photo of Beneficiary
Name
Address
Relation with Beneficiary
Personal Data of Beneficiary
Name
Gender: Male, Female
Date of Birth
Age (if Date of Birth not known)
Place of Birth
Father’s Name
Mother’s Name
Address
PIN Code
District
Marital Status
Spouse Name
Email ID
Contact Phone Number
Voter ID Card Number
Aadhaar Number (UID)
Aadhaar Enrollment Number (if Aadhaar not issued)
Part 2: Service Details
Application Details
Mode of Delivery of Service:
Sewa Kendra
By Post
Application Processing Office
Beneficiary Details (if not the applicant)
Name of Beneficiary (Aadhaar No. of Beneficiary, Attach Copy)
Relationship with Applicant
Additional Details
Full name and address/addresses of Organization
Type of ownership of Organisation:
Individual ownership
Partnership
Company
Co-operative
Any other (specify)
Type of Institution:
Govt. Hospital
Municipal Hospital
Private Hospital
Private Nursing Home
Private Clinic
Private Laboratory
Any other (specify)
Specific pre-natal diagnostic procedures/tests for which approval is sought:
Equipment available with the make and model of each equipment (List to be attached on a separate sheet)
Facilities available in the Counseling Centre:
Ultrasound
Names, qualifications, experience, and registration number of employees (may be furnished as an enclosure)
State whether the Ultrasound Centre qualifies for registration in terms of requirements laid down under rules
For Renewal Applications Only
Registration No.
Date of issue and date of expiry of existing Certificate of registration
Part 3: List of Required Documents
Document Name
Mandatory/Optional
Self Declaration
Mandatory
Proof of Residence
Mandatory
Specify other documents if any
Optional
Declaration
You must declare that you have been residing in India for at least 182 days in the preceding 12 months and that all the information provided by you is true and accurate. You must be aware that your biometrics and information will be used for Aadhaar generation and authentication.
Feedback Form
The form includes a feedback section where you can provide suggestions or indicate if any unnecessary or vague information is being asked.
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