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Sl
1
Name Of Doctor
Dr. Fakhruddin Ahmed
Address
Flat #A2, Dynesty Crest,
48/1/A, West
Chowdhuripara,Dhaka-1219
Fathers Name
Alhaj Rafique
Ahmed
Designation
Anesthetist
fakhruddin@dhaka.net
Email
2
Dr Enamul Islam
House no- 237/1. East
Rampura. PO-Khilgaon,
Dhaka 1219
Malikul Islam
Pediatrician
enamone@yahoo.com
3
Dr.S M Obedul Haq
4
Dr.MAHMUD RIAD
280/B, Flat no #A4, Khilgaon
Chawdhurypara, Dhaka-1219.
5
Dr. Md. Mahbubur
rahman
Village: Fulbari (South Para),
Post: Bogra SadarPolice
Station: Bogra, Dist: Bogra.
6
MIR TAMZID
HOSSAIN
3NB/1 Baishakhi Building,
Lake City Concord,
Namapara, Khilkhet, Dhaka
7
DR. JASMIN ARA
ZAMAN
25, Circular Road,
Dhanmondi (Vuter Goli /
Central Rd), Dhaka-1205
8
MASUD ANWAR
9
DR. MAHMUDUL
HASASN
10
Radiology
General Surgery
Specialist
dr_riad_ssmc@yahoo.com
Anesthesia
mrahmanbg78@gmail.com
Endocrinology
tamzid855@gmail.com
Mr.
Manikuzzaman
Gynaecology
jasmin.zaman@yahoo.com
Flat-E2,House 38 : Road
5,Dhanmondi R/A,Dhaka1205
Villege- Narayanpur, P.O:
Laxmanpur, ThanaMonhorgonj, Dist- comilla
Anwar Uddin
Lasker
Neurosurgery
jasmin.zaman@yahoo.com
Abdul Khalique
Anesthetist
drmahmud73@gmail.com
Dr. Abdullah-Al-Mamun
, 46/22, Block-D, Talbagh,
Savar, Dhaka-1340
Mohammad
Mohar Ali
Orthopaedics
mamunk56@gmail.com
11
Mohd. Shahidul Haque
Fazlul Haque
General Surgeon
ms_haque@hotmail.com
12
Dr. SOJEEB DHAR
Subhash S Dhar
MAXILLOFACIAL
SURGEON
dr.sd2010@gmail.com
13
Dr. Kazi Kismat Ara
Atlantic Wazi Uddin
Tower,Flat#9 D, 168
Elephant Road,Hatirpool,
Dhaka-1205
Appt No. B1,Atlas
Nitoshi,60/B, Bhagabat Saha
Shankhanidhi Road,Wari,
Dhaka-1203.
Ga-85, Middle Badda
Gulshan Dhaka-1212
14
Dr Shohidul Islam
15
DR. DOROTHY
SHAHNAZ MUKUL
FATEMA
193,Vashantek ,Dhaka Cantt,
Post code-6202, Dhaka
Idris Ahmed
Gynaecology
fatema89@ymail.com
16
DR. ABDUL
KHALEQUE
193,Vashantek ,Dhaka Cantt.,
Post code-6202, Dhaka
Abdul Wahed
Orthopaedics
ahnafsadat@gmail.com
17
DR. MD.ABDUR
RASHID
House NO.07,Road No.
08,Sector-O7,Uttatara, Dhaka
Md. Kati.
Mahmud Molleik
Ophthalmology
marashid0707@yahoo.com
18
Dr Arun Kumar Sarker
Buzrokola,Rangupara,Rajshs
hi
Mr Narendra Nath
Sarker
Orthopaedics
19
DR. MAHMUD
EKRAM ULLAH
173 New Paltan Line, Post :
New Market , PS : Lalbag,
Dhaka–1205
Abul Bashar
Mohammad Rafiq
Ullah
General Surgeon
Md. Abdul Jalil Pk
Gynaecology
Gynaecology
drmahmud50@gmail.com
Sl
20
Name Of Doctor
Manir Ahmed
Address
Flat # B3, House # C-52,
Arambag R/A,Pallabi,
Mirpur-7, Dhaka-1216
21
DR. RAJAN
KARMAKAR
1/R Aziz Co-Operative
Housing Society,Dhaka
22
Dr Rezaul Alam
23
Dr. Shaurav Talukder
118/2, Azimpur road, Dhaka 1205
24
MD. WALIUL ISLAM
25
Md Zakir Hossain
Fathers Name
Designation
General Surgeon
manirrmc@yahoo.com
MAXILLOFACIAL
SURGEON
kumerrayan_2012@yahoo.c
om
Anesthetist
ripon9922@yahoo.com
Chandan Talukder
Anaesthesiology
mailshaurav@gmail.com
27/20 3rd Floor, Shere Bangla
Housing, Tikatuli, Dhaka
Md. Altaf Hossain
Pediatrician
Alipur,Satkhira
Md Mulluck
Chandra Sarker
Pediatrician
Sunil Chandra
Karmakar
MMC dig wb¤œiƒc
Email
drzakirpedi@gmail.com
Ql-MC/F/12/0057-0
MALDIVES MEDICAL COUNCIL
MINISTRY OF HEALTH
APPLICATION FOR PRE-REGISTRATION AT MALDIVES MEDICAL COUNCIL
ERIAL NUMBER:
IDENTIFICATION
NATIONAL IDENTITY CARD NO :
PASSPORT NO :
APPLICANT’S
PHOTOGRAP
FULL NAME (as shown in NIC/passport)
FAMILY NAME :
(Passport size)
GIVEN NAME(S):
REGISTRATION REQUIRED AS:
GENDER :
□ MALE
□ FEMALE
DATE OF BIRTH :DD / MM / YYY
EMAIL :
NATIONALITY : BANGLADESHI
BASIC MEDICAL/DENTISTRY QUALIFCATION
START DATE OF UNDERGRADUATE MEDICAL
STUDIES :
MM/YYY
NAME OF QUALIFICATION( as indicated on the
degree awarded):
END DATE OF UNDERGRADUATE MEDICAL
STUDIES(exclude period of internship):
MM/YYY
YEAR CONFERRED(as indicated LANGUAGE OF
on the degree): YYY
INSTRUCTION: ENGLISH
INSTITUTION :
COUNTRY:
QUALIFICATION :
LICENSING AUTHORITY & COUNTRY :
START DATE OF INTERNSHIP :MM/YYY
END DATE OF INTERNSHIP : MM /YYY
NAME OF INSTITUTION WHERE INTERNSHIP WAS COMPLETED(if different from the institution where
undergraduate medical education was completed):
POST GRADUATE MEDICAL/DENTRISTRY QUALIFICATION
START DATE OF POSTGRADUATE MEDICAL
STUDIES:
MM/YYY
NAME OF QUALIFICATION as indicated on the
degree awarded):
END DATE OF POSTGRADUATE MEDICAL STUDIES :
MM/YYY
INSTITUTION :
YEAR CONFERRED(as
indicated
on the degree): YYY
COUNTRY:
LANGUAGE OF
INSTRUCTION: ENGLISH
QUALIFICATION :
LICENSING AUTHORITY & COUNTRY :
ADDITIONAL QUALIFICATION
START DATE OF STUDIES : MM/YY
END DATE OF STUDIES : MM/YYY
NAME OF QUALIFICATION:
INSTITUTION:
YEAR CONFERRED(as
indicated
on the degree): YYY
COUNTRY:
QUALIFICATION :
LICENSING AUTHORITY & COUNTRY :
LANGUAGE OF
INSTRUCTION: ENGLISH
LICENSING EXAMINATION
1.Have you attempted and passed a licensing examination before started practice as a medical/dental practitioner ? □ YES
□ NO
2. If yes to), please provide information on the year license is obtained and the details of the examination passed.
YYY
If no to (1) state reason
3. Was your entire course of undergratuate medical studies completed in the same University/Medical College? □ YES □ NO
EMPLOYMENT DETAILS IN THE MALDIVES : This part will be filled up by Maldives Authority
PROPOSED EMPLOYMENT :
EMPLOYER NAME :
EMPLOYER CONTACT NUMBER :
EMPLOYER EMAIL :
EMPLOYER ADDRESS :
SUPPORTING DOCUMENTS
Copies of the following documents are attached.
□ CERTIFICATE OF GOOD STANDING
□ PASSPORT (DETAILS PAGE )
□ UNDER GRADATUATE MEDICAL DEGREE
□ CERTIFICATE OF REGISTRATION AT OTHER
□ PROOF OF INTERNSHIP
□ TESTIMONIAL FROM DEAN/REGISTRAR
□ ENGLISH LANGUAGE QUALIFICATION
□ LICENSING AUTHORITY
□ LETTER OF VERIFICATION
□ POST GRADUATE MEDICAL DEGREE
DECLARATION
I declare that all information provided herein is true to the best of my knowledge and I understand that falsifying information
would result in legal acton.
NAME OF THE APPLICANT :
SIGNATURE OF THE APPLICANT
DATE : DD/MM/YYY
PRE-REGISTRATION AT MALDIVES MEDICAL COUNCIL
Document No: MMC/02/2012
Instructions to Applicants
1. Copies of the following original documents are to be sent to Maldives Medical Council (MMC) in support of application:
a. National Identity Card or Passport.
b. Undergraduate and postgraduate medical qualifications as applicable.
c. Documentary evidence of house job/internship with details on the period spent in each discipline (for
those applicants having undergraduate qualification).
d. Certificate of Good Standing (CGS) issued by the medical licensing authority of the country where the
doctor has been practicing for the last 01 year prior to the application. The CGS received by MMC
must not exceed 03 months from its issued date.
e. Certificates of registration with other medical licensing authorities.
f. For newly qualified applicants (less than 01 year of completion of training): An original testimonial
from the Dean of the Medical School OR the Registrar of the University attesting to the applicant's character is
required in addition to the item.
2. Medical Graduates are required to produce evidence of proficiency in English Language to the MMC if their
basic medical qualifications are from medical schools where the medium of instruction is not in English. Test
results obtained from the International English Language Testing System (IELTS) test OR the Test of English as
a Foreign Language (TOEFL) within the minimum score stated here can be considered, subject to a validity
period of 02 years based on the date of the test.
• IELTS ‐ at least 7 for overall score.
• TOEFL ‐ 250 marks for computer‐based test or 600 marks for paper‐based test or 100 marks for
Internet based test.
3. In addition to items (1a),(1b),(1d) and (1e), applicants for temporary registration as visiting experts need to
submit following to the Council, at least 1 week before registration:
a. Original letter from sponsoring healthcare institution registered in the Maldives stating the purpose
of the visit of the expert and period required.
b. Original Letter of Verification (LV) of the visiting expert's field of specialty and/or expertise from the
host institution of the expert.
4. Additional notes:
a. Documents in foreign language shall be submitted together with the certified English translations and
original copies of the documents. The Maldives Medical Council will accept translation by (i) the institute that
issued the original certificate (ii) any embassy or consulate of the country that issued the original certificate, (iii)
relevant regulatory body of the country that issued the original certificate.
b. The Letter of Verification (LV) of a visiting expert's field of specialty and/or expertise (temporary
registration) must be dated, contain information of doctor's name, degree or title conferred and must be issued
by the Head of the respective clinical department OR the Chairman, Medical Board (or equivalent) of the host
affirming the Visiting Expert's expertise.
c. All documentation submitted should be complete and legible. The Council will not process illegible,
unclear or incomplete copies. Maldives Medical Council will not be responsible for delays that occur due to
submission of illegible or incomplete documentation.
d. The MMC may also require the doctor to submit any other documents for evaluation of his/her
application.