Annual Practicing Certificate Guide Forms v2 LATEST 2
Annual Practicing Certificate Guide Forms v2 LATEST 2
GUIDELINE & APPLICATION FORM FOR
ANNUAL PRACTICING CERTIFICATE
Please take note:
a. The following information is provided to assist you.
b. Please read these notes for guidance before completing the Application Form.
c. You are expected to observe and comply with ALL the terms and conditions stipulated herein.
d. Not adhering to any of the requirements may result in undue and unnecessary delay in
processing/rejection of your application.
e. The Malaysian Medical Council will NOT be held responsible for any delay due to your non‐
compliance with the terms and conditions set herewith.
1. Pursuant to the Medical Act 1971 (the Act), practitioners are required to register with the
Malaysian Medical Council (MMC) to practice medicine in Malaysia;
2. Apart from registration, the Act also mandates practitioners who want to practice in that
particular year to apply for Annual Practicing Certificate (APC);
3. To be eligible for an APC, you:
3.1. need to be Fully Registered with the MMC;
3.2. do not contravene any of the sections under the Act such as resigning from the public
services before completing the compulsory services; and
3.3. pay the fee (and the penalty), where applicable.
4. In accordance to Regulation 28 of the Medical Regulations 2017 (the Regulations):
4.1. The fee payable for APC is as prescribed in the Second Schedule of the Regulations.
4.2. Applications shall be accompanied by a professional indemnity cover and evidence
of sufficient continuing professional development points (minimum of 20 points).
*The CPD diary runs in an annual cycle from 1st July to 30th June each year.
4.3. Regulation 28(3) states explicitly that ‘Except in the case of a first application for an
annual practicing certificate, where any fully registered medical practitioner desires to
practise after the thirty‐first day of December of any year but fails to apply for an annual
practicing certificate not later than the first day of December of that year shall pay, in
addition to the fee payable in respect of an annual practicing certificate, an additional fee
(RM100.00) for late application as prescribed in the Second Schedule’.
5. You are required to submit a one hundred ringgit (RM100.00) fee (pursuant to Regulation 28(1)
and 47 of the Medical Regulations 2017) in the form of electronic payment methods such as
credit/debit card and online banking/transfer/cash deposit; should be made to Malaysian
Medical Council. All online banking/transfer/cash deposit should be made to our
beneficiary account and please provide proof of payment.
KUMPULAN WANG MAJLIS PERUBATAN MALAYSIA
CIMB Islamic Bank Berhad
Account Number: 8600098716
6. To avoid delays, please ensure:
6.1. To submit your application not later than the 1st day of December. (NOTE: Proof of postage
is NOT proof of delivery or receipt).
6.2. To complete ALL mandatory fields marked “*” in the specified Form 14 (preferably type‐
written in block letters).
6.3. The principal place of practice and other places of practice (if any) have to be specified
clearly and in detail in the application form (Form 14)
6.4. Any medical practitioners, employed in the public services and wish to include a place of
practice in a private sector, please refer to the APC‐ Amendment document.
7. Application from foreign medical practitioners, who are fully registered under Section 14(3), will
not be approved if;
7.1. The place of practice does not comply with any restrictions and/or conditions specified in
the full registration certificate.
7.2. The full registration has already expired.
8. Application should only be made by the practitioner himself and NOT by any third party
9. If you are applying for the first time after retirement or resignation from public sector you need to
enclose:
9.1. A copy of resignation/retirement letter that stated the effective date of
resignation/retirement and;
9.2. A certified true copy of service book from your ex‐employer (for resignation only)
10. Application can ONLY be submitted in person or sent via post.
11. Before submitting, please refer to the checklist provided.
12. Please notify us about a change of address in writing by completing a new Appendix A Form.
13. All documents should be certified according to the MMC Guideline for Document Verification. (Please
visit the following link: http://www.mmc.gov.my/images/contents/downloadable/Guideline‐doc‐
verify.pdf).
14. Should your printed names in any of the submitted documents differ, you are required to
submit a Statutory Declaration (stating the name as on the identity card is the same individual)
15. If the original documents are not in either Bahasa Malaysia or English, you need to submit
translated versions (original and not copy) in either Bahasa Malaysia or English along with certified
copies of the document in its original language. Translated documents are only acceptable if carried
out by qualified translators such as Institut Terjemahan dan Buku Malaysia (ITBM) or
Officers of appropriate Embassy.
16. Please submit this application to:
The Registrar of Medical Practitioners,
Malaysian Medical Council,
Block B, Ground Floor,
Jalan Cenderasari,
50590 KUALA LUMPUR.
17. You are advised to keep a copy of this application for your reference.
18. If you are notified of any shortcomings in your application, you are strongly advised to respond
immediately to prevent delays.
19. If you wish to update/amend any particulars in the APC or add new practice address(es), please
refer to the APC ‐ Amendment document (Appendix A Form).
20. Please allow us 4 (four) weeks to process your Annual Practicing Certificate.
21. Your APC will be sent directly to you by post. If you want to collect it, please state it clearly in your
application form. However, if you want someone to collect on your behalf, he/she needs to produce
a Letter of Authorization from you during collection.
22. Please feel free to contact us if you:
a. have not received any feedback from us regarding the application;
b. do not hear from us after the processing period is over; and/or
c. require assistance or if you have any questions.
Your cooperation is greatly appreciated.
Thank you.
Secretary,
Malaysian Medical Council.
1st JULY 2019
MALAYSIAN MEDICAL COUNCIL (Application for APC Year: )
Form 14
(Section 20, Medical Act 1971) (Regulation
28, Medical Regulations 2017)
APPLICATION FOR ANNUAL PRACTICING CERTIFICATE
1. Full Name of Applicant (as
in Medical Register)
Date:
4. Continuing Professional Development (CPD) Points * Points Collected:
(Compulsory for APC 2020 onwards) Year:
5. Contact Information Phone: Email:
6. Residential Address with postcode
8. b. Name and Address of other place(s) of
practice with postcode
(Please attach separate paper if more than 2
place of practice with full name/identity
card/APC year)
9. a. Full registration certificate No.
b. Date of full registration or of registration
under any previous law
c. Place of registration under any previous law
10. Last Annual Practicing Certificate No.
11. Payment details (online banking / cash deposit / credit a. Proof or payment/Transaction ID (if applicable):
card / debit card)
b. Sum: RM
c. Date:
12. Pos laju (tambahan) a. Sum: RM 20.00
13. Jumlah a. Sum: RM
Signature of Applicant
Date:
Note:‐
1. This application should be addressed and submitted to:
The Registrar of Medical Practitioners, Ministry Of Health, Ground Floor, Block B *Sila tanda
Jalan Cenderasari, 50590 Kuala Lumpur. (Tel No. : 03‐26912171/ Fax No.: 03‐26912937)
Not later than the 1st day of December.
Pos Laju
2. Where the application is made later than the 1st day of December, an additional late fee of RM100.00 is payable. Pos Biasa
3. Please fill the form in BLOCK LETTERS completely and please make a copy for use in future.
4. The fee is payable by bank transfer, cash deposit, credit card, and debit card only.
5. Payment to MMC account number: 8600098716 CIMB (Proof of payment is needed)
6. Practitioners who are NOT yet fully registered are not eligible to apply for APC.
7. For Foreign Practitioners, please attach a copy of your Full Registration.
8. If you want someone to collect on your behalf, he/she needs to produce a Letter of Authorization from you.
*CPD of minimum 20 points and proof of CPD from our CPD providers(MMA/AMM/myCPD) is required. Certificate of any other form is NOT accepted.
APPENDIX A FORM :
(To be filled only for purpose of APC Amendment)
1. Name*: ………………………………………………………………………………………………………………………………………………………
2. (a) Identity Card No.*: New : ……………‐…….…‐……….……
(b) Passport No. (for foreigner)*: ………..………………..…
3. Full MMC Registration no: …………………………………..
4. Telephone No. (H/P) .……………‐…………………………
5. Email address: …………………………….………………………......
6. Total No. of Places of Practice: …………..……places.
7. To Change, Add or Delete Practice Addresses:
OLD:
NEW:
5. Mode of Certificate Delivery: Please choose one only.
Date: ………………………………. Signature of applicant: …………………………………..
*Delete whichever is not applicable
Note:‐
a) If you need more space, please use a separate sheet of paper.
b) If you want someone to collect on your behalf, he/she needs to produce a Letter of Authorization from you .
c) Please provide original copy of APC for amendments.
d) The fee is payable by bank transfer, cash deposit, credit card or debit card only.
e) Payment to MMC account number: 8600098716 CIMB (Proof of payment is needed).
*Sila tanda
Pos Laju
Pos Biasa