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  • Self Declaration

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    Tushar
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    This self-declaration document contains information from a pharmacist registering to remain on the list of registered pharmacists in Telangana, India. The pharmacist provides their name, father/husband's name, residential and work addresses, registration number and expiration date. They declare their desire to continue their registration and affirm that the information provided is true to the best of their knowledge.

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    This self-declaration document contains information from a pharmacist registering to remain on the list of registered pharmacists in Telangana, India. The pharmacist provides their name, father/husband's name, residential and work addresses, registration number and expiration date. They declare their desire to continue their registration and affirm that the information provided is true to the best of their knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views1 page

    Self Declaration

    Uploaded by

    Tushar
    This self-declaration document contains information from a pharmacist registering to remain on the list of registered pharmacists in Telangana, India. The pharmacist provides their name, father/husband's name, residential and work addresses, registration number and expiration date. They declare their desire to continue their registration and affirm that the information provided is true to the best of their knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Self Declaration

    I…………………………………………………………………………………………………………………………………………….

    S/o/D/o……………………………………………………………………………………………………………………………………………

    Residential address…………………………………………………………………………………………………………………………

    ………………………………………………………………………………………………………………………………………………………..

    Telangana State, bearing Registration No…………………………………………… valid upto ……………………..

    Present Working Address……………………………………………………………………………………………………………….

    …………………………………………………………………………………………………………………………………………………………

    hereby declare that I am desiring to continue my registration in the list of Registered

    Pharmacists of Telangana residents provided in the website. I am solely responsible for the

    information given herein and it is true to the best of my knowledge and belief.

    Date:

    Place:

    Signature of the Applicant

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