Form Of Application For Registration Of Pharmacists Page 3

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Forwarding Letter
Full name & Address of Pharmacist
Telephone No. :
E-mail Id :
Date :
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.
SUB : REGISTRATION AS PHARMACIST
Sir,
With reference to the subject cited above, I Mr/Miss/Mrs.
________________________________________________________________ hereby apply in
(Surname) (Name) (Father’s/Husband Name)
the prescribed Application Form-G to enter my name in the Pharmacy Register maintained by the
Gujarat State Pharmacy Council under the provisions of Pharmacy Act, 1948.
I enclosed herewith photocopies or all the required documents and testimonials duly Self
attested and information as per the rules alongwith the application form as enlisted below in
chronological order for your perusal.
Sr.
Particulars
Whether
Page
No.
Enclosed
No.
Yes/No.
1
2
3
4
1.
Prescribed Application Form-G
2.
One recent passport size photograph(5 X 4 Cms)
of the applicant
In case of any change in the name of the applicant (any of the
following documents)
(a) Marriage certificate (In the case
of married female candidate) or
(b) A copy of gazette notification (in all other cases)
3.
Proof of birth date and Birth place :
School / College leaving certificate / S.S.C. Board certificate &
Birth Certificate from competent authority.
4.
Proof of residence in the Gujarat
State such as (any of the following documents) :
(a) Electric or telephone bill in the name
of parent of the candidate.
(b) L.I.C. policy of the candidate.

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