LCP Application

Application Fee

• RM500.00

Requirements

• 2 Years practicing in Private Clinic/Hospital
• Underwent Medical Aesthetic Structural Courses

Checklist

a. Application Form
1. 1 Passport Sized Photo
2. Application Form (Original and Current/Update)
3. Contact Number
4. Updated E-mail Address
5. Working Experience (Month & Year)
6. 2 Referees from Chapter 1 (LCP Holder) – (Original Signature with Official Name Stamp)
7. Signed Logbook (original)
8. Payment Slip RM500.00

b. Supporting document with “Certified True Copy”
1. Full Registration Certificate
2. 3 year’s Annual Practicing Certificate (APC)
3. Borang B (Place of Practice as in Current APC)
4. Valid Professional Indemnity Policy
5. Medical Aesthetic Course Attended

BANKING DETAILS

Beneficiary Name : PERTUBUHAN DOKTOR ESTETIK BERDAFTAR MALAYSIA
Beneficiary Bank : MAYBANK BERHAD
Account Number : 5127 5454 0969
Reference 1 : YOUR NAME
Reference 2 : TYPE OF APPLICATION

COURIED ADDRESS

PERTUBUHAN DOKTOR ESTETIK BERDAFTAR MALAYSIA
S62-1, First Floor
Red Carpet Avenue, Encorp Strand Mall,
Kota Damansara PJU 5/22,
47810 Petaling Jaya, Selangor