[See Rules 6(3), 6(5) and 8(3)]
FORM FOR REJECTION OF APPLICATION FOR GRANT/RENEWAL OF REGISTRATION
In exercise of the powers conferred under Section 19(2) of the Pre-natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994, the Appropriate Authority ……………………………. hereby rejects the application for grant*/renewal* of registration of the undermentioned Genetic Counselling Centre*/Genetic Laboratory*/Genetic Clinic*/Ultrasound Clinic*/Imaging Centre*.
(1) Name and address of the Genetic Counselling Centre*/Genetic Laboratory*/Genetic Clinic*/Ultrasound Clinic*/Imaging Centre*
(2) Reasons for rejection of application for grant/renewal of registration:
Signature, name and designation
of the Appropriate Authority with SEAL of Office
*Strike out whichever is not applicable or necessary.