ANNEX A List of Personnel Name of Hospital :
ANNEX A List of Personnel Name of Hospital :
ANNEX A List of Personnel Name of Hospital :
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<strong>List</strong> <strong>of</strong> <strong>Personnel</strong><strong>ANNEX</strong> A<strong>Name</strong> <strong>of</strong> <strong>Hospital</strong> : ___________________________________________________________________________________________Address <strong>of</strong> <strong>Hospital</strong> : ___________________________________________________________________________________________<strong>Name</strong>Designation/ PositionHighest EducationalAttainmentPRC Reg.No.FromValidToSignatureUse additional sheets when necessary
<strong>List</strong> <strong>of</strong> Equipment 1<strong>ANNEX</strong> B<strong>Name</strong> <strong>of</strong> <strong>Hospital</strong> : ___________________________________________________________________________________________Address <strong>of</strong> <strong>Hospital</strong> : ___________________________________________________________________________________________Brand <strong>Name</strong> & Model Serial No. Quantity Date <strong>of</strong> PurchaseUse additional sheets when necessary1 Equipment should be present, functional, and owned by the hospital applying for license to operate.
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