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Pharmacy Factory/Warehouses

APPLICATION FOR REGISTRATION OF A FACTORY OR WAREHOUSE
UNDER SECTION 33 & 34 OF THE ACT

Section 1 - Type of Application (Tick appropriate box)

                                                                                           

Section 2 - Type of Industry (Tick appropriate box)

                                                                                                         

Section 3 - Factory or Warehouse Information

        

Section 4 - Factory or Warehouse Ownership ((Tick appropriate box))

The Factory or Warehouse identified in section 3 is owned by the following - select only one, then enter name. An entry must be made. DO NOT enter "Same as Above".

Section 5 - List of Owner's Address

1. Enter the business address of the Corporation, LLC, Individual, Partnership, Association, ETC. entered in Section 4. See note below.
2. Enter the business address of the Corporation, LLC, individual, Partnership, Association, etc. entered in Section 4. See note below.

Section 6 - Ownership of Existing Registered Factory or Warehouse

        

I hereby certify that I understand the Laws and Regulations and hereby undertake that the Factory or Warehouse will be operated in accordance with such laws and regulations.

I understand that this registration is valid for a period of one year and must be renewed thereafter.

Section 7 – Upload any relevent attachments

Upload certificate or identity attachments:

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