This service is to apply an Application for Change in Premises
Documents to be submitted with application:
1.COVERING LETTER
2.STATUTORY FORM
3.FEES
4.CONSTITUTION DOCUMENT
5.ADDITIONAL INFORMATION SHEET FOR FRESH LICENSE.
6.QUALIFIED PERSON’S PROFORMA
7.OPTION AND APPROVAL FORM AS SPECIFIED UNDER D AND C RULES 65(3) AND 65(4) OF SAID RULE
8.AFFIDAVITS I.REGISTERED PHARMACISTS AFFIDAVIT II. AFFIDAVITS OF THE APPLICANT ON CONSTITUTION, TENANCY, AREA OF PREMISES ETC III. BIOMEDICAL WASTE DISPOSAL OR UNDER TAKING
9.PURCHASE INVOICE OR DECLARATION FOR OWNING REFRIGERATOR
10.ADDRESS PROOF OF APPLICANT
11.ADDRESS PROOF OF QP
12.PHOTO OF APPLICANT
13.PHOTO OF QP
14.RENT /LEASE DOCUMENT WITH LAND LORDS DECLARATION /LETTER
15.SKETCH OF THE PREMISES
16.SURRENDER OF EXISTING LICENCES- IF REQUIRED
17.XEROX COPY OF LICENCES / QP LAST APPROVAL LETTER- IF REQUIRED
18.DOCUMENT TO SHOW THE OWNERSHIP OF BUILIDING ( LATEST TAX PAID RECEIPT OR KHATA EXTRACT)
