Form B
Form B
Form B
FORM B
[See Rules 6(2), 6(5) and 8(2)]
CERTIFICATE OF REGISTRATION
(To be issued in duplicate)
1. In exercise of the powers conferred under Section 19 (1) of the Pre-natal Diagnostic
Techniques (Regulation and Prevention of Misuse) Act, 1994 (57 of 1994), the
Appropriate Authority ………………….. hereby grants registration to the Genetic
Counselling Centre*/Genetic Laboratory*/Genetic Clinic*/Ultrasound Clinic*/Imaging
Centre* named below for purposes of carrying out Genetic Counselling/Pre-natal
Diagnostic Procedures*/Pre-natal Diagnostic Tests/ultrasonography under the aforesaid
Act for a period of five years ending on …………….
2. This registration is granted subject to the aforesaid Act and Rules thereunder and any
contravention thereof shall result in suspension or cancellation of this Certificate of
Registration before the expiry of the said period of five years apart from prosecution.
SEAL