Registration

First Schedule

APPLICATION FOR REGISTRATION OF A FACTORY OR WAREHOUSE UNDER SECTION 34 OF THE PHARMACY ACT

 

Section 1 - Type of Application




Section 2 - Type of Industry


Section 3 - Pharmacy Information

TO

Section 4 - Factory/Warehouse Ownership

The Factory/Warehouse identified in Section 3 is owned by:






Section 5 - List of Owner's Address

Section 6 - Ownership of Existing Registered Factory/Warehouse

Does the Owner listed in Section 5 own a registered factory/warehouse?

Yes No

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