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Form K

The applicant is applying for renewal of their registration as a pharmacist with the Uttarakhand Pharmacy Council. They are submitting Form K along with the original registration certificate and renewal fees of Rs. 100 per year. The applicant provides their name, signature, registration number, address and professional work address for verification purposes.

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DrAbhishek Bansal
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965 views

Form K

The applicant is applying for renewal of their registration as a pharmacist with the Uttarakhand Pharmacy Council. They are submitting Form K along with the original registration certificate and renewal fees of Rs. 100 per year. The applicant provides their name, signature, registration number, address and professional work address for verification purposes.

Uploaded by

DrAbhishek Bansal
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Rs.

100/-

Form K

Application For Renewal of Registration


Rules 6 (2) of the Registration Rules
No.-0001
To,

Dated:-------------------The Registrar ,
Uttarakhand Pharmacy Council,
Chander Nagar, Dehradun.

Sir,
I beg to state that my registration as a pharmacist will expire on ------------- , I here by
apply for the renewal of the registration with requisite fee @ Rs. 100/- per year for ,
I enclose herewith my registration certificate in original which may be returned when done with.

Yours faithfully
--------------------------------------Professional work Address --------------------- (Name with Signature of applicant)
------------------------------------------------------

Fathers/Husband Name------------------------

------------------------------------------------------

Address--------------------------------------------

----------------------------------------------------

---------------------------------------------

------------------------------------------------------

Registration no. ----------------------------------

Renewal fees Paid Rs. ---------------------------

Receipt No. ---------------------------------------Against registration No. ------------------------Valid up to ----------------------------------------Renewal Before-----------------------------------(M. L. Joshi)


REGISTRAR
Uttarakhand Pharmacy Council

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