FORM C - REJECTION OF APPLICATION FOR REGISTRATION OR RENEWAL OF REGISTRATION
[See Rules 6(3), 6(5) and 8(3)]
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 Genetic Counselling Centre*/Genetic Laboratory*/Genetic Clinic* named below for the reasons stated.
Name and address of the Genetic Counselling Centre*/Genetic Laboratory*/Genetic Clinic*
Name of Applicant who has applied for registration
Reasons for rejection of application for registration
Signature, name and designation of the Appropriate Authority
*Strike out whichever is not applicable or necessary.