We the President and Members of the Governing body of the State Medical Faculty of Bengal, under the authority vested in us by the Statues of the said Faculty. So do here by make known that His Excellency the governor of Bengal has nominated ………………………………………………………
For the fellowship this faculty as a mark of distinction for the eminent position he holds in hola in his profession and the said ……………………………… Has accordingly been admitted to be a fellow of the State Medical Faculty.
honours causa.
Dated at Calcutta, the ……………… day of ……………… in the year ………………………………
Signed on behalf of the Governing Body of the State Medical Faculty of Bengal
President
Signature of the Fellow
Fellowship by Election [article 4(2) of the Statues]
Form of Diploma
We, the President and Members of the Governing Body of the State Medical Faculty of Bengal, undwe the authority vested in us by the Statutes of the said Faculty, do hereby make known that the Governing Body of this faculty have satisfied themselves that ……………………………………………………… holds an eminent position in his profession, and have therefore admitted him to be a Fellow of the State Medical Faculty, honours causa.
Dated at Calcutta, the ………………………… date of …………………… in the year ……………………………
Signed on behalf of the Governing Body of the State Medical Faculty of West Bengal.
President
Signature of the Fellow