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  • Khyber Pakhtunkhwa Pharmacy Council

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    This document is an application form for registration as a Category "A" Pharmacist with the Khyber Pakhtunkhwa Pharmacy Council. The form requests information such as the applicant's name, father's name, permanent and professional addresses, qualifications, experience, identification marks, date and place of birth. It also states that a fee of Rs. 1500 has been paid and lists instructions including providing attested photocopies of educational certificates, degree, photographs, signatures, identity card, and domicile.

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    khyber pakhtunkhwa pharmacy council

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    This document is an application form for registration as a Category "A" Pharmacist with the Khyber Pakhtunkhwa Pharmacy Council. The form requests information such as the applicant's name, father's name, permanent and professional addresses, qualifications, experience, identification marks, date and place of birth. It also states that a fee of Rs. 1500 has been paid and lists instructions including providing attested photocopies of educational certificates, degree, photographs, signatures, identity card, and domicile.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    23K views2 pages

    Khyber Pakhtunkhwa Pharmacy Council

    Uploaded by

    api-295817187
    This document is an application form for registration as a Category "A" Pharmacist with the Khyber Pakhtunkhwa Pharmacy Council. The form requests information such as the applicant's name, father's name, permanent and professional addresses, qualifications, experience, identification marks, date and place of birth. It also states that a fee of Rs. 1500 has been paid and lists instructions including providing attested photocopies of educational certificates, degree, photographs, signatures, identity card, and domicile.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    KHYBER PAKHTUNKHWA PHARMACY COUNCIL

    [Application Form for Registration Category A Pharmacist]

    1. Name (Block letter) ____________________________________________________________________


    2. Fathers Name________________________________________________________________________
    3. Permanent Address____________________________________________________________________
    4. Professional Address___________________________________________________________________
    5. Qualification (with year and Division obtained)_______________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    6. Experience___________________________________________________________________________
    ____________________________________________________________________________________
    ____________________________________________________________________________________
    7. Mark of identification___________________________________________________________________
    8. Date of Birth__________________________________________________________________________
    9. Place of Birth_________________________________________________________________________
    The Prescribed fee of Rs. 15OO/- Has been remitted Bank Of Khyber, Khyber Bazar Branch Vide
    Challan No _____________ dated _____________ or Draft NO _____________ Dated ______________

    Date__________

    (Signature of Applicant)

    Instructions
    (i)
    (ii)
    (iii)
    (iv)
    (v)
    (vi)

    Photostat copies of Educational Certificate. (Attested)


    Photostat Copy of Degree in Pharmacy. Duly verified from controlled controller of examination
    Three attested Passport Size Photographs. (Colour)
    Three Specimen Signature
    Photo copy of National identity card.
    Domicile.

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