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  • Duplicate Certificate or Duplicate Passbook

    Uploaded by

    Anil Kumar
    354 views2 pages
    The applicant is requesting the issuance of a duplicate registered pharmacist certificate or pass book from the AP Pharmacy Council as the original was lost. The applicant provides their name, registration number, and validity details. Relevant documents including a police report, affidavit, employment proof, residential proof, photocopies of certificates and pass book if available, specimen signatures, and passport photos are submitted along with the application form and fees for processing.

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    The applicant is requesting the issuance of a duplicate registered pharmacist certificate or pass book from the AP Pharmacy Council as the original was lost. The applicant provides their name, registration number, and validity details. Relevant documents including a police report, affidavit, employment proof, residential proof, photocopies of certificates and pass book if available, specimen signatures, and passport photos are submitted along with the application form and fees for processing.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    354 views2 pages

    Duplicate Certificate or Duplicate Passbook

    Uploaded by

    Anil Kumar
    The applicant is requesting the issuance of a duplicate registered pharmacist certificate or pass book from the AP Pharmacy Council as the original was lost. The applicant provides their name, registration number, and validity details. Relevant documents including a police report, affidavit, employment proof, residential proof, photocopies of certificates and pass book if available, specimen signatures, and passport photos are submitted along with the application form and fees for processing.

    Copyright:

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

    Application for Duplicate Certificate/Duplicate Pass-Book

    Date:

    / /

    To
    The Registrar,

    Latest
    Passport Size
    Colour Photo

    AP Pharmacy Council,
    Nampally, Hyderabad.
    Sir,

    Sub: Application for issue of Duplicate Certificate/Duplicate Pass Book-Reg


    -----I am S/D/O . a Registered
    Pharmacist bearing RP No../. valid up to 31.12.
    .
    I lost my Original Registered Pharmacist Certificate / Pass Book and
    applying for issue of Duplicate Certificate/Duplicate Pass Book.
    I am submitting relevant documents in this regard. Kindly do the
    needful at an early date.
    Thanking you sir.
    Yours faithfully,
    Encl: as per check list

    Specimen Signatures of the applicant

    (Signature of the applicant)


    (Name:
    )

    Duplicate Certificate/Pass Book


    Check List
    1. Application form
    2. Police report in Original/Drugs Inspector Report
    3. Notarized Affidavit-B
    4. Employment proof ( Drug licenses/Teaching/Industry etc ID proof )
    5. Residential proof(Election ID/Aadhar card/Bank account(Nationalized
    bank)/Indian Passport/Ration card/Driving license)
    6. Photocopy of Registered Pharmacist Certificate
    7. Photocopy of S.S.C
    8. Photocopy of Pass book if available
    9. 3 specimen signatures
    10. 4 Passport size color photo
    11. Fees (pay Cash only)

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