Form Of Application For Registration Of Pharmacists printable pdf download

Form Of Application For Registration Of Pharmacists

FORM “G”

(RULE 69)

FORM OF APPLICATION FOR REGISTRATION OF PHARMACISTS

(Under section 32 of pharmacy Act. 1948)

To,

The Registrar

Gujarat State Pharmacy Council,

Old Nursing College Building, Block No. - 4/A,

3rd Floor, Opp. Cancer Hospital, Gate No. - 6,

Asarwa, Ahmedabad - 380016.

Dear Sir,

I request that my name, address and qualification as stated in the accompanying form may

be registered under the pharmacy Act, 1948 and that may be furnished with a certificate of

Registration.

I enclose herewith for your perusal and the return the certificate and diplomas in original

and their copies for the record.

A fee of Rs. 25 as required under rule 76 of the Bombay State Pharmacy Council Rules is

sent by Demand Draft or is paid in Cash to the Registrar in person.

I hereby declare that I have read carefully and understood the instructions and particulars

supplied to me and that all the entries in the form are true to the best of my knowledge and belief.

Yours faithfully

Date :

Signature

INSTRUCTIONS

All particulars are of the application must be filled in by the applicant in neat, legible

hand, incomplete applications may be rejected.

The name entered in this application must exactly correspond with the name of the

applicant entered at the University or other examinations.

Application fees of Rs. 500/600 (including administrative charges) for registration

should be sent to the Registrar Gujarat State Pharmacy Council. Application fee should be

handed over in person by Cash or by Demand Draft payable at Ahmedabad only. When

fee is sent by the Demand Draft full name and address of the applicant to be given, else it

may be rejected.

If the space for giving particulars is not found sufficient, the same may be given on a

separate sheet and attached to this application.

If the applicant is a proprietor of any firm he should produce a declaration of his

experience in dispensing.

Dispensing experience under R.M.P. under act of 1938 cannot be accepted for the purpose

of section 31(d).

Experience in manufacture of Drugs cannot be accepted for the purpose of section 31(d).

Form Of Application For Registration Of Pharmacists