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T-5, r. 4 - Regulation respecting other terms and conditions for permits of the Ordre des technologues en imagerie médicale, en radio-oncologie et en électrophysiologie médicale du Québec to be issued

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SCHEDULE III
APPLICATION FOR MEMBERSHIP IN THE ORDRE DES TECHNOLOGUES EN IMAGERIE MÉDICALE, EN RADIO-ONCOLOGIE ET EN ÉLECTROPHYSIOLOGIE MÉDICALE DU QUÉBEC
I, ______________________________ after taking cognizance of the Act and the regulations of the ORDRE DES TECHNOLOGUES EN IMAGERIE MÉDICALE, EN RADIO-ONCOLOGIE ET EN ÉLECTROPHYSIOLOGIE MÉDICALE DU QUÉBEC, apply for membership in the Order.
Signature: ______________________________
this __________ day of ______________________________
O.C. 177-92, Sch. III.
SCHEDULE III
APPLICATION FOR MEMBERSHIP IN THE ORDRE DES TECHNOLOGUES EN IMAGERIE MÉDICALE ET EN RADIO-ONCOLOGIE DU QUÉBEC
I, ______________________________ after taking cognizance of the Act and the regulations of the ORDRE DES TECHNOLOGUES EN IMAGERIE MÉDICALE ET EN RADIO-ONCOLOGIE DU QUÉBEC, apply for membership in the Order.
Signature: ______________________________
this __________ day of ______________________________
O.C. 177-92, Sch. III.
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