HOW TO APPLY FOR NEW DRUG LICENSE

Retail & Wholesale

(PROCEDURE)

Visit the portal – http://xlnindia.gov.in and click on sales login

Click on drop box and select Chhattisgarh

Apply for USER ID and Password

(You will get USER ID and Password on your Registered Mobile)

Enter user name and password

After that click on submit button

Change your Password for privacy and security (available on right top corner of your screen)

Click on Update my details (available on left top corner of your screen) and correct, if required

Once corrected click on update button

Go to Menu and click on Prepare/Edit online applicatio

Click on New Inward (available on right top corner of your screen)

Click on Ok button

Click on Storage type and select at least one from them (compulsory)
 Click on Document type from drop box and select Aadhar Card (compulsory) and fill Aadhar No.

Click on Inward type from drop box and select Fre-addl/Fresh license

Click on RP IN RETAIL /CP IN WHOLESALE button (Not required for Form 20C & 20A/21A)

Click on ADD button and fill all the details. Upload Photographs and Documents. (Certificate will
consist of Registration Certificate of pharmacist from state pharmacy tribunal and Current renewal)
and Save

Click on CON button and then on ADD button. Fill all the details and Save

Take a print out of self-declaration of RP/CP and proprietor. Get it signed by registered pharmacist
and proprietor/authorized signatory

Keep it for uploading with other documents when required

Click on Back button

Click on By Firm & Print Form

Print Form 19/19A/19B/19C and Log out

proprietor/authorized signatory should sign system generated Form 19/19A/19B/19C

Keep it for uploading with other documents when required

Payment of fee through (Epayment gatway)

 Print and upload Challan

After receiving the Challan receipt & Login with User ID & Password

Click on By Firm (Left Top Corner)

Click on Payment Entries

Click on New (Right Top Corner)

Select payment type FRAS Payment and fill all details. (Upload scanned copy of deposited Challan by
using Choose file option) then Save

Click on Upload document and upload all the required document then click on Close button

Click on Additional information/Undertaking

Click on Undertaking Button of the same screen, fill and click on E-Sign button

Click on Additional form information button and then on Back button

Certify and eSend Application to Dept----Licensing Authority

Licensing authority will forward it to Drug Inspector---5 working Days-Drug Inspector

Drug Inspector will verify the document and premises----Drug Inspector

 Drug Inspector will submit his report to Licensing Authority---15 working Days-
Licensing Authority

After viewing the report Licensing Authority will grant or reject the License---10 working
Days-Licensing Authority

Final License must print within three days from Dt. Of Grant by Applicant
 List of Documents for New Retail Drug Licence

(Drug Licence No. 20, 21)

(Proprietor + Regd. Pharmacist)

01. Form No. 19

02. Challan Rs. 3000/-
03. Affidavit of proprietor on stamp paper of 20 Rs.
04. Educational certificate copies of proprietor (Self attested)
05. Self attested copies of Identity proof of proprietor ( Domicile/ Driving
license/ Voter ID card)
06. Affidavit of Regd. Pharmacist.
07. Educational certificate copies of Regd. Pharmacist (Self attested)
08. Self attested copies of Identity proof of Regd. Pharmacist ( Domicile/
Driving license/ Voter ID card)
09. Blue print of Plan layout of proposed area/ premises.
10. Electricity bill of proposed area/ premises.
11. Copy of Refrigerator bill.
12. Rent agreement ( 50 Rs. Stamp paper)
13. Ownership document of the premises including the copy of tax receipt
of proposed area/ premises.
14. Covering letter.
15. Photo 5-5 each of Regd. Pharmacist and proprietor.

All Documents in PDF format scanned in GRAY scale.

 List of Documents for New Wholesale Drug Licence

(Drug Licence No. 20B, 21B)

(Proprietor + Competent person)

01. Form No. 19

02. Challan Rs. 3000/-
03. Affidavit of proprietor on stamp paper of 20 Rs.
04. Educational certificate copies of proprietor (Self attested)
05. Self attested copies of Identity proof of proprietor ( Domicile/ Driving
license/ Voter ID card)
06. Affidavit of Competent person.
07. Educational certificate copies of Competent person (Self attested)
08. Self attested copies of Identity proof of Competent person ( Domicile/
Driving license/ Voter ID card)
09. Experience certificate of competent person. (Experience certificate of 4
years after 12th or experience certificate of 2 years after graduation in
original)
10. Blue print of Plan layout of proposed area/ premises.
11. Electricity bill of proposed area/ premises.
12. Copy of Refrigerator bill.
13. Rent agreement ( 50 Rs. Stamp paper)
14. Ownership document of the premises including the copy of tax receipt
of proposed area/ premises.
15. Covering letter.
16. Photo 5-5 each of Competent person and proprietor.

All Documents in PDF format scanned in GRAY scale.