Seksyen 1
Peraturan-peraturan ini bolehlah dinamakan Peraturan-Peraturan Optik
(Pindaan) (No. 2) 2021.
/akn/my/act/pua/2021/45
The full official text, structured for quick navigation. Copy any provision or jump straight to a section.
Quick answer
PERATURAN-PERATURAN OPTIK (PINDAAN) (NO. 2) 2021 is Malaysia P.U. (A), cited as P.U. (A) 45 2021, currently marked in force and first recorded in 2021.
Opening note
Peraturan-peraturan ini bolehlah dinamakan Peraturan-Peraturan Optik
(Pindaan) (No. 2) 2021.
Pindaan Jadual
dengan menggantikan Borang 5 dengan borang yang berikut:
“Borang 5
(Subperaturan 20(1))
(Subseksyen 18(1))
PERMOHONAN UNTUK PENDAFTARAN JURUOPTIK
Nama pemohon (seperti dalam Kad Pengenalan Pendaftaran Negara):
……………………………………………………………....................................................................................
No. Kad Pengenalan Pendaftaran Negara: ………………….....……………………………………
No. Polis/Tentera/Pasport: ..............................................................................................................
Taraf kewarganegaraan: ……………..……………….……......………………………………………….
Tarikh lahir: ……………………………………..…………......……………………………………………….
No. telefon: .....................................................(Rumah) .....................................................(Bimbit)
E-mel: ..........................................................................................................................................................
3 8.
Alamat kediaman:
…………………………………………….………..………………......................................................................
........................................................................................................................................................................
Alamat surat-menyurat:
……………………….…….…………………………………………………………...............……………….……
………………………………………………………………..…………………….................………………...……
Butir-butir kelulusan:
Saya lampirkan dokumen berikut sebagai bukti kelulusan saya dan bagi menyokong permohonan ini:
salinan yang diperakui benar Kad Pengenalan Pendaftaran Negara atau
Kad Polis/Tentera atau pasport
salinan yang diperakui benar ijazah, diploma atau sijil ahli sesuatu persatuan
Tarikh: ................................................
.............................................................
Tandatangan pemohon
4
Saya, (nama penuh) …………………………………………………………………............ pemohon yang tersebut di atas, dengan ini mengaku bahawa butir-butir yang dinyatakan dalam permohonan ini adalah benar dan betul dan dokumen yang dilampirkan ialah salinan dokumen asal yang diperakui benar yang berkaitan dengan saya. Saya tidak pernah pada bila-bila masa didapati melakukan kesalahan yang melibatkan fraud, kecurangan atau keburukan akhlak, atau kesalahan yang boleh dikenakan hukuman penjara (sama ada hukuman penjara itu sahaja atau sebagai tambahan atau sebagai ganti suatu denda) selama sesuatu tempoh satu tahun atau ke atas.
Tarikh: …………………
….……………………………
Tandatangan pemohon
Saya, (nama penuh) .............................................................................................................................................
yang beralamat di (alamat penuh) ...............................................................................................................
.......................................................................................................................................................................................
sebagai (kedudukan profesional) .................................................................................................................
dengan ini memperakui bahawa saya sendiri mengenali pemohon (nama pemohon)
........................................................................................................ yang mengemukakan permohonan untuk didaftarkan sebagai ....................................................................................... dan pemohon ialah orang yang namanya terdapat pada permohonan ini.
Tarikh: …………………
….…………………….......………
Tandatangan
Juruoptik Berdaftar/
Optometris Berdaftar/
Peguam Bela dan Peguam Cara/
Pegawai dalam Kumpulan Pengurusan dan Profesional Perkhidmatan Awam
........................................................
Cap Rasmi Jabatan/Syarikat”;
5
dengan menggantikan Borang 6 dengan borang yang berikut:
“Borang 6
(Subperaturan 20(2))
(Subseksyen 18(2))
PERMOHONAN UNTUK PENDAFTARAN JURUOPTIK
DENGAN KEBENARAN MAJLIS
Nama pemohon (seperti dalam Kad Pengenalan Pendaftaran Negara):
……………………………………………………………....................................................................................
No. Kad Pengenalan Pendaftaran Negara: ……………………………………….....………………
No. Polis/Tentera/Pasport: ..............................................................................................................
Taraf kewarganegaraan: ……………..……………......….……………………………………………….
Tarikh lahir: ……………………………………..……......…………………………………………………….
No. telefon: .................................................(Rumah) .........................................................(Bimbit)
E-mel: ..........................................................................................................................................................
Alamat kediaman:
…………………………………………….………..………………......................................................................
........................................................................................................................................................................
Alamat surat-menyurat:
……………………….…….………………………………………………………….....……………………….......
……………………………………………………………..……………………..……….....………………….........
Perihal kelulusan (sepenuhnya): ………………..….……………...…………......
Pengalaman amali:
Nama Majikan
No. Syarikat/
Pendaftaran
Perniagaan
Alamat Majikan
Tahun
Pengalaman
Amali
Saya lampirkan dokumen berikut sebagai bukti kelulusan saya dan bagi menyokong permohonan ini:
salinan yang diperakui benar Kad Pengenalan Pendaftaran Negara atau
Kad Polis/Tentera atau pasport
salinan yang diperakui benar ijazah, diploma atau sijil ahli sesuatu persatuan
salinan yang diperakui benar sijil pendaftaran syarikat/perniagaan
Tarikh: …………………
….……………………………...
Tandatangan pemohon
Saya, (nama penuh) …………………………………………………………………............ pemohon yang tersebut di atas, dengan ini mengaku bahawa butir-butir yang dinyatakan dalam permohonan ini adalah benar dan betul dan dokumen yang dilampirkan ialah salinan dokumen asal yang diperakui benar yang berkaitan dengan saya. Saya tidak pernah pada bila-bila masa didapati melakukan kesalahan yang melibatkan fraud, kecurangan atau keburukan akhlak, atau kesalahan yang boleh dikenakan hukuman penjara (sama ada hukuman penjara itu sahaja atau sebagai tambahan atau sebagai ganti suatu denda) selama sesuatu tempoh satu tahun atau ke atas.
Tarikh: …………………
….……………………………...
Tandatangan pemohon
7
Saya, (nama penuh) .............................................................................................................................................
yang beralamat di (alamat penuh) ...............................................................................................................
.......................................................................................................................................................................................
sebagai (kedudukan profesional) .................................................................................................................
dengan ini memperakui bahawa saya sendiri mengenali pemohon (nama pemohon)
........................................................................................................ yang mengemukakan permohonan untuk didaftarkan sebagai ....................................................................................... dan pemohon ialah orang yang namanya terdapat pada permohonan ini.
Tarikh: …………………
….……………………….....……
Tandatangan
Juruoptik Berdaftar/
Optometris Berdaftar/
Peguam Bela dan Peguam Cara/
Pegawai dalam Kumpulan Pengurusan dan Profesional Perkhidmatan Awam
.............................................................
Cap Rasmi Jabatan/Syarikat”; dan 8
dengan menggantikan Borang 7 dengan borang yang berikut:
“Borang 7
(Subperaturan 20(3))
(Seksyen 19)
PERMOHONAN UNTUK PENDAFTARAN OPTOMETRIS
Nama pemohon (seperti dalam Kad Pengenalan Pendaftaran Negara):
……………………………………………………………....................................................................................
No. Kad Pengenalan Pendaftaran Negara: ………………….....……………………………………
No. Polis/Tentera/Pasport: ..............................................................................................................
Taraf kewarganegaraan: ……………........……………….……………………………………………….
Tarikh lahir: …………………………......…………..………………………………………………………….
No. telefon: ....................................................(Rumah) ......................................................(Bimbit)
E-mel: ..........................................................................................................................................................
Alamat kediaman:
…………………………………………….………..………………......................................................................
........................................................................................................................................................................
Alamat surat-menyurat:
……………………….…….……………………………………………….....………………………………….......
………………………………………………………………..……………….....……..………………………….....
Butir-butir kelulusan:
Tarikh kelulusan: ………………………………….………………………………………............
9 10.
Saya lampirkan dokumen berikut sebagai bukti kelulusan saya dan bagi menyokong permohonan ini:
salinan yang diperakui benar Kad Pengenalan Pendaftaran Negara atau
Kad Polis/Tentera atau pasport
salinan yang diperakui benar ijazah, diploma atau sijil ahli sesuatu persatuan
Tarikh: ................................................
.............................................................
Tandatangan pemohon
Saya, (nama penuh) …………………………………………………………………............ pemohon yang tersebut di atas, dengan ini mengaku bahawa butir-butir yang dinyatakan dalam permohonan ini adalah benar dan betul dan dokumen yang dilampirkan ialah salinan dokumen asal yang diperakui benar yang berkaitan dengan saya. Saya tidak pernah pada bila-bila masa didapati melakukan kesalahan yang melibatkan fraud, kecurangan atau keburukan akhlak, atau kesalahan yang boleh dikenakan hukuman penjara (sama ada hukuman penjara itu sahaja atau sebagai tambahan atau sebagai ganti suatu denda) selama sesuatu tempoh satu tahun atau ke atas.
Tarikh: …………………
….……………………………
Tandatangan pemohon
10
Saya, (nama penuh) .............................................................................................................................................
yang beralamat di (alamat penuh) ...............................................................................................................
.......................................................................................................................................................................................
sebagai (kedudukan profesional) .................................................................................................................
dengan ini memperakui bahawa saya sendiri mengenali pemohon (nama pemohon)
........................................................................................................ yang mengemukakan permohonan untuk didaftarkan sebagai ....................................................................................... dan pemohon ialah orang yang namanya terdapat pada permohonan ini.
Tarikh: …………………
….…………………….......………
Tandatangan
Juruoptik Berdaftar/
Optometris Berdaftar/
Peguam Bela dan Peguam Cara/
Pegawai dalam Kumpulan Pengurusan dan Profesional Perkhidmatan Awam
........................................................
Cap Rasmi Jabatan/Syarikat”.
Dibuat 30 September 2020
[KKM.600-1/3/74 Jld2(50); PN(PU2)503/VII]
DATO’ SRI DR. ADHAM BIN BABA
Menteri Kesihatan
11
OPTICAL (AMENDMENT) (NO. 2) REGULATIONS 2021
Opening note
These regulations may be cited as the Optical (Amendment) (No. 2)
Regulations 2021.
Amendment of Schedule 2.
The Schedule to the Optical Regulations 1994 [P.U. (A) 210/1994] is amended—
by substituting for Form 5 the following form:
“Form 5
(Subregulation 20(1))
(Subsection 18(1))
APPLICATION FOR REGISTRATION OF OPTICIAN
Name of applicant (as in National Registration Identity Card):
……………………………………………………………...............................................................................
National Registration Identity Card No.: ………………………………………………………...
Police/Army/Passport No.: .........................................................................................................
Citizenship status: ……………..……………….………………………………………………………...
Date of birth: ……………………………………..…………………………………………………………
Phone no.: ............................................(Home) ............................................................(Mobile)
E-mail: ...................................................................................................................................................
12 8.
Residential address:
…………………………………………….………..……………….................................................................
...................................................................................................................................................................
Correspondence address:
……………………….…….………………………………………………………………………………….......
………………………………………………………………..……………………..…………………………….
Particulars of qualification:
I attach the following documents as proof of my qualification and in support of this application:
certified true copy of National Registration Identity Card or Police/Army
Card or passport
certified true copy of degree, diploma or fellow certificate of an association
Date: ................................................
.............................................................
Signature of applicant
13
I, (full name) …………………………………………………………………............ the abovenamed applicant, hereby declare that the particulars stated in this application are true and correct and the documents attached are certified true copies of original documents which relate to me. I have not at any time been found guilty of an offence involving fraud, dishonesty or moral turpitude or an offence punishable with imprisonment
(whether in itself only or in addition to or in lieu of a fine) for a term of one year or upward.
Date: …………………
….……………………………
Signature of applicant
I, (full name) ......................................................................................................................................................
having an address at (full address) …………………………………………….………………………………...
.......................................................................................................................................................................................
being (professional status) ..............................................................................................................................
do hereby certify that I personally know the applicant (name of applicant)
...................................................................................................................... who submits an application to be registered as ...................................................................................... and the applicant is the person whose name appears on this application.
Date: …………………
..….…………………………………
Signature
Registered Optician/
Registered Optometrist/
Advocate and Solicitor/
Officer in the Managerial and Professional
Group of the Public Service
……...……..….........................................................
Official Stamp of Department/Company”;
14
by substituting for Form 6 the following form:
“Form 6
(Subregulation 20(2))
(Subsection 18(2))
APPLICATION FOR REGISTRATION OF OPTICIAN
WITH AUTHORIZATION OF COUNCIL
Name of applicant (as in National Registration Identity Card):
……………………………………………………………....................................................................................
National Registration Identity Card No.: ……………….…………………………………………...
Police/Army/Passport No.: ...............................................................................................................
Citizenship status: ……………..……………….……..……………………………………………………...
Date of birth: ……………………………..…………..…………………………………………………………
Phone no.: ..................................................(Home) ............................................................(Mobile)
E-mail: .......................................................................................................................................................
Residential address:
………………………………………….…….………..……………….................................................................
........................................................................................................................................................................
Correspondence address:
……………………….…….……………………………………………………………………………..……….......
…………………………………………………………….....……………………..…………………...…………….
Description of qualification (in full): ………………...………………................
Practical experience:
Name of
Employer
Company/Business
Registration No.
Address of
Employer
Years of Practical
Experience
I attach the following documents as proof of my qualification and in support of this application:
certified true copy of National Registration Identity Card or Police/Army
Card or passport
certified true copy of degree, diploma or fellow certificate of an association
certified true copy of company/business registration certificate
Date: ................................................
.............................................................
Signature of applicant
I, (full name) …………………………………………………………………............ the abovenamed applicant, hereby declare that the particulars stated in this application are true and correct and the documents attached are certified true copies of original documents which relate to me. I have not at any time been found guilty of an offence involving fraud, dishonesty or moral turpitude or an offence punishable with imprisonment
(whether in itself only or in addition to or in lieu of a fine) for a term of one year or upward.
Date: …………………
….……………………………
Signature of applicant
16
I, (full name) ...................................................................................................................................................... of having an address at (full address) .............................................................................................................
.......................................................................................................................................................................................
being (professional status) ..............................................................................................................................
do hereby certify that I personally know the applicant (name of applicant)
...................................................................................................................... who submits an application to be registered as ......................................................................................... and the applicant is the person whose name appears on this application.
Date: …………………
….……………………………
Signature
Registered Optician/
Registered Optometrist/
Advocate and Solicitor/
Officer in the Managerial and Professional
Group of the Public Service
……….…………….................................................
Official Stamp of Department/Company”; and
17
by substituting for Form 7 the following form:
“Form 7
(Subregulation 20(3))
(Section 19)
APPLICATION FOR REGISTRATION OF OPTOMETRIST
Name of applicant (as in National Registration Identity Card):
……………………………………………………………....................................................................................
National Registration Identity Card No.: ………………………….………………………………...
Police/Army/Passport No.: ...............................................................................................................
Citizenship status: ……………..……………….……………………………..……………………………...
Date of birth: ………………..………………………..…………………………………………………………
Phone no.: ..............................................(Home) ................................................................(Mobile)
E-mail: ........................................................................................................................................................
Residential address:
…………………………………………….………..………………......................................................................
........................................................................................................................................................................
Correspondence address:
……………………….…….……………………………………………………………………………..……….......
………………………………………………………………..……………………..…………...………...………….
Particulars of qualification:
Date of qualification: ……………………………………………………..……………………….
18 10.
I attach the following documents as proof of my qualification and in support of this application:
certified true copy of National Registration Identity Card or Police/Army
Card or passport
certified true copy of degree, diploma or fellow certificate of an association
Date: ................................................
.............................................................
Signature of applicant
I, (full name) …………………………………………………………………............ the abovenamed applicant, hereby declare that the particulars stated in this application are true and correct and the documents attached are certified true copies of original documents which relate to me. I have not at any time been found guilty of an offence involving fraud, dishonesty or moral turpitude or an offence punishable with imprisonment
(whether in itself only or in addition to or in lieu of a fine) for a term of one year or upward.
Date: …………………
….……………………………
Signature of applicant
19
I, (full name) .....................................................................................................................................................
having an address at (full address) ………………………………………………………………………...
.......................................................................................................................................................................................
being (professional status) ..............................................................................................................................
do hereby certify that I personally know the applicant (name of applicant)
...................................................................................................................... who submits an application to be registered as ...................................................................................... and the applicant is the person whose name appears on this application.
Date: …………………
….…………………………………
Signature
Registered Optician/
Registered Optometrist/
Advocate and Solicitor/
Officer in the Managerial and Professional
Group of the Public Service
..……………...........................................................
Official Stamp of Department/Company”.
Made 30 September 2020
[KKM.600-16/39/1Jld2(50); PN(PU2)503/VII]
DATO’ SRI DR. ADHAM BIN BABA
Minister of Health