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SCHEDULE (C.) No. 1.

LIST of CORPORATIONS whose Diplomas and Licences shall entitle the Persons holding them to be registered as Physicians prior to the First Day of November 1856.

The Royal College of Physicians of London.
The Royal College of Physicians of Edinburgh.

The King's and Queen's College of Physicians in
Ireland.

The Archbishop of Canterbury.

SCHEDULE (C.) No. 2.

LIST of CORPORATIONS whose Diplomas and Licences shall entitle the Persons holding them to be registered as Surgeons prior to the First Day of November 1856.

The Royal College of Surgeons of England.

The Royal College of Surgeons of Edinburgh.

The Faculty of Physicians and Surgeons of Glasgow.

The Royal College of Surgeons of Dublin.
The Society of Apothecaries in London.

SCHE

SCHEDULE (D.)

DECLARATION required of a Person who claims to be registered as a Medical Practitioner, upon the Ground that he was in Practice as a Medical Practitioner before the First Day of August 1815:

I,

of

Practitioner, at

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hereby declare that I was practising as a Medical in the County of

before the First Day of August 1815.

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The MEDICAL REGISTER, consisting of the Names and Places of Residence and Qualifications of all Persons legally qualified to practise Medicine and Surgery in the Year 185

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CERTIFICATE of Approval from Examiners in General Education.

This is to certify, That [Name of Candidate examined] has been carefully examined by us, the Examiners in [London] in General Education, after the Scheme approved of by the Medical Council, and that we consider him a fit Person to be presented as a Candidate for Examination in Medicine and Surgery.

(Signed)

Dated

[Name of Examiner or Examiners.]

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